Psychosocial outcomes six months after epilepsy surgery: A perspective on coping strategies.

OBJECTIVE: Epilepsy negatively affects the social functioning of patients. Epilepsy surgery is a treatment with superior rates of seizure freedom. The psychosocial outcomes after epilepsy surgery depend on several factors, including the patient's coping style. It is important to identify the patients who are at risk of experiencing psychosocial difficulties after epilepsy surgery and consult them for psychiatric interventions. This study aimed to assess changes in social adaptation, felt stigma, self-esteem, and self-efficacy after epilepsy surgery, and the effect of coping strategies, sociodemographic and epilepsy-related variables, and post-surgical seizure outcomes on these results. METHODS: Thirty adult patients with temporal lobe epilepsy who were candidates for surgery were included in the study (mean age: 33.07, mean seizure onset age: 17.2, mean duration of epilepsy: 15.8). The patients were assessed before and 6 months after epilepsy surgery using the Epilepsy Self-Efficacy Scale, Social Adaptation Self-Evaluation Scale, Rosenberg Self-Esteem Scale, Felt Stigma Scale, and Coping Orientation to Problems Experienced Inventory. RESULTS: The patients' self-efficacy levels were increased after surgery (p = 0.005). Postsurgical social adaptation levels were associated with higher positive reinterpretation and growth, active coping, and planning (p = 0.016, p = 0.005, p = 0.002, respectively). Postsurgical self-efficacy levels were positively associated with active coping and planning (p = 0.003, p = 0.035, respectively). Postsurgical self-esteem (p = 0.012, p = 0.049, p = 0.034, respectively) and stigma (p = 0.029, p = 0.014, p = 0.027, respectively) were negatively associated with positive reinterpretation and growth, active coping, and planning. Furthermore, being employed presurgical period was associated with better postsurgical social adaptation (p = 0.004). CONCLUSIONS: The psychosocial outcomes after epilepsy surgery depend not only on seizure outcomes. Understanding the factors beyond seizure freedom, allows healthcare professionals to have a pivotal role in exploring and managing patients' expectations, fostering a more comprehensive and realistic dialogue about potential outcomes. Considering employed patients had better psychosocial outcomes, we suggest patients' families, healthcare professionals, and epilepsy support organizations should work collaboratively to support people with epilepsy in terms of providing job opportunities.

Effect of Elderly People's Perceived Value on their Adherence to Outdoor Exercise: The Intermediary Role of Motivation for Active Social Adaptation.

The aim of this study is to investigate the relationship between the perceived value of outdoor activities and exercise persistence among elderly Chinese individuals. Specifically, the study aims to explore whether motivation for active social adaptation mediates this relationship. Three hundred twenty-five subjects were randomly chosen and invited to complete 3 questionnaires about the perceived value of outdoor activity, the motivation for active social adaptation, and the adherence to physical exercise. The results showed that older people's perception of the value of outdoor activity (function, landscape, and cost) has a statistically significant effect on their adherence to exercise. The mediating role of motivation for active social adaptation was also statistically significant, and the mediating role of active environmental adaptation motivation affected the perceived functional value, perceived landscape value of outdoor activities on adherence to exercise. Hence, it is concluded that older Chinese adults' perception of the value of outdoor activities promotes their adherence to exercise and reinforces it based on active social adaptation motivation.

Cognitive, emotional, and social factors promoting psychosocial adaptation: a study of latent profiles in people living in socially vulnerable contexts.

Introduction: Social adaptation is a multifaceted process that encompasses cognitive, social, and affective factors. Previous research often focused on isolated variables, overlooking their interactions, especially in challenging environments. Our study addresses this by investigating how cognitive (working memory, verbal intelligence, self-regulation), social (affective empathy, family networks, loneliness), and psychological (locus of control, self-esteem, perceived stress) factors interact to influence social adaptation. Methods: We analyzed data from 254 adults (55% female) aged 18 to 46 in economically vulnerable households in Santiago, Chile. We used Latent profile analysis (LPA) and machine learning to uncover distinct patters of socioadaptive features and identify the most discriminating features. Results: LPA showed two distinct psychosocial adaptation profiles: one characterized by effective psychosocial adaptation and another by poor psychosocial adaptation. The adaptive profile featured individuals with strong emotional, cognitive, and behavioral self-regulation, an internal locus of control, high self-esteem, lower stress levels, reduced affective empathy, robust family support, and decreased loneliness. Conversely, the poorly adapted profile exhibited the opposite traits. Machine learning pinpointed six key differentiating factors in various adaptation pathways within the same vulnerable context: high self-esteem, cognitive and behavioral self-regulation, low stress levels, higher education, and increased social support. Discussion: This research carries significant policy implications, highlighting the need to reinforce protective factors and psychological resources, such as self-esteem, self-regulation, and education, to foster effective adaptation in adversity. Additionally, we identified critical risk factors impacting social adaptation in vulnerable populations, advancing our understanding of this intricate phenomenon.

[Medical and social aspects of testicular prosthetics in adults and adolescents].

Despite a long history and seeming simplicity, testicular prosthesis is associated with a lot of unresolved issues. As new publications appear, the sharpness of the discussion around issues related to prosthetics does not tend to decrease. The review is based on publications on testicular prosthesis in adolescence and adulthood published in PubMed databases (https://www.ncbi.nlm.nih.gov/pubmed/) and Scientific Electronic Library Elibrary.ru (https://elibrary.ru/) was done. Only articles published in peer-reviewed journals were selected. The search was carried out using the following keywords: "testicular prosthesis", "structure of patients", "social rehabilitation", "social adaptation", "complications", "repeated implantation of testicular prosthesis". A total of 146 sources have been identified (predominantly over the past 10 years), and 44 have the highest scientific value and have been selected for citation and analysis. Testicular prosthesis is an important component of the psychological and physical well-being of the patient after orchiectomy, normalization of reproductive function and sexual adaptation [1, 2]. A body defect that occurs after an orchiectomy is in most cases perceived as a psychologic trauma. The evaluation of the results by both specialists and patients certainly deserves serious attention, but the works dedicated to this issue in detail are sparse, contradictory and do not fully disclose the problem. Many issues related to testicular prosthesis remain open for discussion. There is a trend in clarification of the optimal age of the intervention, surgical technique and complications. The evaluation of the results from both a professional point of view and the patient's perception and satisfaction is currently far from being resolved, therefore, such studies are still relevant.

Effects of cognitive behavioral and psychological intervention on social adaptation, psychological resilience and level of hope in patients with nasopharyngeal carcinoma in radiotherapy.

Objective: To evaluate the effects of cognitive behavioral and psychological intervention(CBPI) on social adaptation, psychological resilience, and the level of hope in patients with nasopharyngeal carcinoma(NPC) in radiotherapy. Methods: This is application research. Eighty patients undergoing radiotherapy for NPC at Affiliated Hospital of Hebei University from November 20, 2020 to November 15, 2022 were randomized into control and study groups at a 1:1 ratio. While the control group was provided with standard specialized nursing care, the study group was offered CBPI in addition to the exact nursing care. Differences in quality of life, psychological resilience, level of hope, emotional state, and patient satisfaction between the groups were compared and analyzed before and after treatment. Results: After an intervention, significantly improved physical, mental, and social functions and material living conditions were observed in the study group compared with the control group (all p< 0.05). Although both groups scored higher on the selected psychological resilience scale following the intervention, the study group showed better results as compared to control group in adaptability, tenacity, control, and goal orientation (all p< 0.05). While both groups had elevated scores of temporality and future, interconnectedness, and positive readiness and expectancy at the end of the intervention, the improvements were more pronounced in the study group (all p< 0.05). Conclusion: CBPI supports radiotherapy for NPC by improving patients' quality of life, confidence in treatment, the hope of recovery, psychological resilience, anxiety, depression, and patient satisfaction. Therefore, this treatment strategy is worthy of wide application in clinical settings.

The contribution of audiobook use on the mental health of older adults: the mediating effects of social adaptation.

Objectives: This study aims to examine the association between audiobook use and the mental health of older adults.Methods: Data were from the 2018 China Longitudinal Aging Social Survey(CLASS 2018). The study utilized multiple linear regression to examine the association between audiobook use and the mental health of older adults. Robustness and heterogeneity analyses were conducted to validate the findings. Mediation analysis was employed to assess the mediating role of social adaptation in the relationship between audiobook use and mental health.Results: The study revealed a significant positive association between audiobook use and the mental health of older adults. Further mediation analysis indicated that social adaptation played a mediating role in this relationship.Conclusion: These findings underscore the potential of audiobooks as a valuable tool for promoting the mental health of older individuals. The research emphasizes the significance of integrating audiobook interventions into strategies aimed at enhancing the mental health of the older adults.

Utility of scratch art therapy in adult epilepsy patients with difficulties in social adaptation.

OBJECTIVE: Adult patients with epilepsy are confronted with significant psychological and psychosocial burdens. However, the role of psychological intervention to improve quality of life has not been fully established yet. The basis of art therapy is symbolic representations of inner experiences but patients may have difficulty expressing themselves. Here, we investigated utilities of scratch art therapy in Japanese adult patients with epilepsy who feel difficulties in social adaptation. METHODS: Seven adult epilepsy patients (four males, age: 32.1 ± 9.9, mean ± SD) treated in epilepsy clinic of our hospital, who complained of psychosocial problems and underwent psychotherapy sessions combined with art therapy, were included. Six patients had focal epilepsy and two of them were sequelae of encephalitis. They were comorbid with depression, mood disorders, anxiety, memory disturbance, and insomnia. Psychotherapy sessions were scheduled at the same day of their clinic visit, every 4-12 weeks, 60 min per day, and art therapy was performed as a part (up to 30 min, in accord with the condition of the patient) of each session. Scratch art therapy was performed by using ready-made publications. Each patient selected favorite motives of figure out of several options suggested by the therapist. RESULTS: All patients quickly adapted themselves to scratch art therapy and verbally expressed their hidden emotions during drawing. One female patient with emotional lability appealed that she could stab herself by pointed end of the pen. Three patients added self-motivated lines to the designed draft. Two patients realized problems to be solved and moved to other suitable therapeutic procedures. SIGNIFICANCE: The current case series study demonstrated utilities of scratch art therapy in Japanese adult patients with epilepsy who feel difficulties in social adaptation. Scratch art therapy is easy to introduce in adult epilepsy patients who have trouble expressing themselves or have uncontrollable emotions.

Effects of Cognitive-Behavioral Therapy on Psychological Resilience, Social Adaptation and Clinical Efficacy of Patients with Bone Tumors.

Objective: To evaluate the effects of cognitive-behavioral therapy on psychological resilience, social adaptation and clinical efficacy in patients with bone tumors. Methods: This is a retrospective study. Eighty patients with bone tumor admitted to Baoding No.1 Central Hospital were included and randomly divided into two groups: the experimental group and the control group, with 40 cases in each group from March 2020 to February 2022. Patients in the control group were given conventional specialist care, while those in the experimental group were given cognitive-behavioral therapy on top of the treatment in the control group. The differences in quality of life before and after treatment between the two groups were compared and analyzed. Results: The levels of SAS and SDS were significantly lower in the experimental group compared to the control group, with statistically significant differences (p<0.05). The satisfaction level in the experimental group was higher than in the control group, with statistically significant difference (p=0.04). In addition, the psychological resilience scores of adaptability, toughness, control and goal achievement in the experimental group were significantly improved compared with those in the control group, with statistically significant differences (p<0.05); The cognitive scores in the experimental group were significantly higher than those in the control group, with statistically significant difference (p<0.05). Conclusion: Cognitive-behavioral therapy is an effective regimen for patients suffering from bone tumors, boasting various benefits such as significantly enhanced patient compliance with treatment, improved quality of life, increased resilience, ameliorated anxiety and depressive states, and improved treatment efficacy and patient satisfaction.

Challenges and social adaptation of international students in Saudi Arabia.

Adapting to university life in Saudi Arabia can be difficult for international students. This qualitative research, based on the social adaption framework, explore in detail the problems that international students experience during their enrolment at Al-Imam Mohammad Ibn Saud Islamic University (IMSIU), which is located in Riyadh, Saudi Arabia. Utilizing purposeful sampling, 20 students participated in the semi-structured interviews. The interviews contained 16 questions to elicit the students' perceptions about the challenges they encountered faced during their residence in Saudi Arabia. Findings revealed that international students experienced language barriers, had to deal with issues regarding culture shock, and had episodes of depression, nostalgia, stress, loneliness, and homesickness. However, these international students retained positive attitudes about their social adaptation and were satisfied with the resources and facilities provided at IMSIU. It was strongly suggested that student affairs officers, academic professionals, and social work practitioners, who interact with overseas students, should strive to help international students overcome possible language, communication, lifestyle, and institutional barriers. The implication is that international students should utilize various counseling and professional guidance resources to assist them adapt to the new lifestyle in the host country. This study could be replicated using a mixed-methods approach for future investigators.

How much of my true self can i show? social adaptation in autistic women: a qualitative study.

BACKGROUND: Social adaptation is often aimed at supporting autistic people, yet its specific goals may not include their actual perspectives. That is, the state of adaptation is judged based on the standards and values of non-autistic people. This qualitative study focused on autistic women's perceptions of social adaptation and examined their lived experiences in daily life, as adaptive behaviors have often been reported as a "female autism phenotype." METHODS: Semi-structured interviews were conducted face-to-face with ten autistic women aged 28-50 years (M = 36.7; standard SD = 7.66). The analysis was conducted based on the grounded theory approach. RESULTS: Two core perceptions were identified: maintaining stable relationships and fulfilling social roles based on past experiences of "maladaptation." The participants sought adaptations within a reasonable range and adjusted their balance with society to maintain stability in their daily lives. CONCLUSION: The findings indicated that autistic women's perceptions of adaptation were based on the accumulation of past negative experiences. Further harmful efforts should be prevented. Support for autistic people to make their own choices in life is also important. Moreover, autistic women need a place where they can be themselves and be accepted as they are. This study showed the importance of changing the environment rather than modifying autistic people to adapt to a society.

Newly qualified registered nurses' and midwives' experiences from rural health district placement in Namibia.

BACKGROUND: The transition period for newly qualified registered nurses/midwives (NQRN/Ms) is a fundamental phase in their career. Yet, transition experiences have been studied mostly within urban and/or specialised healthcare settings in high-resource countries. This study aimed to explore and describe the experiences of NQRN/Ms in a rural health district in Namibia. METHODS: A qualitative, descriptive, explorative, and contextual design was followed. The sample consisted of eight participants who were purposively selected. Data were collected via in-depth individual interviews and analysed following a reflexive thematic analysis. The researchers were guided by Lincoln and Guba's strategies for establishing trustworthiness. FINDINGS: Themes conceptualised from the analysis include encounters with rural community members; encounters with colleagues; staffing, management, and supervision; shortage of resources; poor infrastructure; unreliable communication networks; and the lack of social life. CONCLUSION: The NQRN/Ms had mixed experiences related to a variety of aspects such as social life, resources, colleagues and community members. These findings can be used to improve undergraduate nursing curricula, as well as to create graduate job preparation workshops and support networks.

The impact of loneliness and social adaptation on depressive symptoms: Behavioral and brain measures evidence from a brain health perspective.

Introduction: Early detection of depression is a cost-effective way to prevent adverse outcomes on brain physiology, cognition, and health. Here we propose that loneliness and social adaptation are key factors that can anticipate depressive symptoms. Methods: We analyzed data from two separate samples to evaluate the associations between loneliness, social adaptation, depressive symptoms, and their neural correlates. Results: For both samples, hierarchical regression models on self-reported data showed that loneliness and social adaptation have negative and positive effects on depressive symptoms. Moreover, social adaptation reduces the impact of loneliness on depressive symptoms. Structural connectivity analysis showed that depressive symptoms, loneliness, and social adaptation share a common neural substrate. Furthermore, functional connectivity analysis demonstrated that only social adaptation was associated with connectivity in parietal areas. Discussion: Altogether, our results suggest that loneliness is a strong risk factor for depressive symptoms while social adaptation acts as a buffer against the ill effects of loneliness. At the neuroanatomical level, loneliness and depression may affect the integrity of white matter structures known to be associated to emotion dysregulation and cognitive impairment. On the other hand, socio-adaptive processes may protect against the harmful effects of loneliness and depression. Structural and functional correlates of social adaptation could indicate a protective role through long and short-term effects, respectively. These findings may aid approaches to preserve brain health via social participation and adaptive social behavior.

Research on the relationship between physical activity, sleep quality, psychological resilience, and social adaptation among Chinese college students: A cross-sectional study.

Background: Sleep quality has become a frequent and prominent public health problem in Chinese universities, which seriously hinders the healthy development of college students and the improvement of the quality of higher education. Objective: The purpose of this study is to explore the relationship between physical activity and sleep quality among Chinese college students, and the mechanism of psychological resilience and social adaptation, and provide suggestions for improving the sleep quality among Chinese college students. Methods: From August to September 2022, a cross-sectional survey was conducted by using the convenience sampling method in Guangdong Province. 1,622 college students were investigated with Physical Activity Scale, Pittsburgh Sleep Quality Index Scale (PSQI), Psychological Resilience Scale, and Social Adaptation Diagnostic Scale, of which 893 were male and 729 were female. Use SPSS 23.0 and PROCESS plug-ins to analyze data. Results: (1) There was a significant negative correlation between physical activity and sleep quality (r = -0.237), and the direct path of physical activity to sleep quality was significant (ß = -0.236, t = -9.888, p < 0.01); (2) physical activity can positively predict psychological resilience (ß = 0.215, t = 8.823, p < 0.01) and social adaptation (ß = 0.164, t = 7.773, p < 0.01); psychological resilience can negatively predict sleep quality (ß = -0.337, t = -15.711, p < 0.01), positive prediction of social adaptation (ß = 0.504, t = 23.961, p < 0.01); social adaptation can negatively predict sleep quality (ß = -0.405, t = -18.558, p < 0.01); (3) psychological resilience and social adaptation play a significant mediating role between physical activity and sleep quality. The mediation effect consists of three paths: physical activity → psychological resilience → sleep quality (mediation effect value is -0.0723), physical activity → social adaptation → sleep quality (mediation effect value is -0.0662), and physical activity → psychological resilience → social adaptation → sleep quality (mediation effect value is -0.0438). (4) There is no gender difference in chain mediated effect. Conclusion: (1) Physical activity can significantly positively predict college students' psychological resilience and social adaptation, and negatively predict sleep quality, which means that physical activity may help improve college students' psychological resilience and social adaptation, and reduce sleep quality problems; (2) physical activity can not only directly affect the quality of sleep, but also indirectly affect the quality of sleep through the independent intermediary role of psychological resilience and social adaptation and the chain intermediary role of both. This further explains the reason why physical activity plays a role in college students' sleep quality, which will help to provide some inspiration for colleges and universities to reduce college students' sleep quality problems and formulate intervention plans.

Perceived social cohesion and depressive symptoms among internal migrants in China: The mediating role of social adaptation.

Background: Internal migrants are exposed to higher risks of depressive symptoms due to migration-related stress. It has been recognized that perceived neighborhood social cohesion has direct and indirect associations with depressive symptoms. However, the pathway from perceived social cohesion to internal migrants' depressive symptoms was less discussed. Objectives: To assess mental health disparities among internal migrants. To investigate the association between social cohesion and depressive symptoms among urban-to-urban and rural-to-urban migrants and to examine the mediating role of social adaptation. Methods: Data from the "2017 Urbanization and New Migrant Survey" was used, including 2,584 internal migrants age 18-65 from 10 cities in China. Social cohesion was measured by a six-item modified Community-level Cohesion Scale. Depressive symptoms was measured using the Center for Epidemiological Studies Depression Scale, and social adaptation was assessed by a single-item question of migrants' adaptation to local life. Multivariate linear regression models were used to examine the association between social cohesion and depressive symptoms. Baron and Kenny's mediation tests were conducted to examine the mediating role of social adaptation on the association. All analyses were adjusted using sampling weights to account for this survey's sampling design. Results: Rural-to-urban migrants were found to have more clinically significant depressive symptoms, lower perceived social cohesion, and fair or low social adaptation than urban-to-urban migrants (all p < 0.001). Being rural-to-urban migrants as compared with urban-to-urban migrants [Odds Ratio (OR) = 1.46, 95% Confidence Interval (CI) = 1.456, 1.461, p < 0.001], had lower perceived social cohesion (OR = 1.46, 95% CI = 1.458, 1.463, p < 0.001), and poorer social adaptation (OR = 1.94, 95% CI = 1.932, 1.941, p < 0.001), are associated with higher odds of having clinically significant depressive symptoms. Social adaptation partially mediated the association between social cohesion and depressive symptoms by explaining 15.39% of its effect for urban-to-urban migrants and 18.97% for rural-to-urban migrants. Conclusions: Findings from this study reveal mental health inequalities among internal migrants and demonstrate the importance of social adaption on the association between social cohesion and depressive symptoms. Social strategies and public policies are needed to build a more cohesive community that serves both local residents and internal migrants, especially rural-to-urban migrants.

Perceived stress and life satisfaction during COVID-19 pandemic: the mediating role of social adaptation and the moderating role of emotional resilience.

The present study mainly focused on college students during the COVID-19 outbreak and aimed to develop and examine a moderated mediation model between perceived stress and life satisfaction, with social adaptation during COVID-19 as a mediator, and emotional resilience as a moderator. A sample of 1032 college students participated in this study and completed questionnaires regarding perceived stress, social adaptation during COVID-19, emotional resilience, and life satisfaction. Findings indicated that 1) social adaptation during COVID-19 partially mediated the association between perceived stress and life satisfaction; and 2) emotional resilience moderated the relationship between perceived stress and social adaptation during COVID-19 as well as perceived stress and life satisfaction. These two relationships became stronger for college students with lower levels of emotional resilience. The results were discussed to illuminate the mechanism in relation to theoretical and practical implication for improving college students' life satisfaction during the period of the COVID-19 outbreak.

Longitudinal associations of neuroticism with life satisfaction and social adaptation in a nationally representative adult sample.

OBJECTIVE: Correlational studies have frequently linked neuroticism to lower well-being and poorer social adaptation. In this study, we examined the longitudinal associations of neuroticism with life satisfaction and aspects of social adaptation (i.e., loneliness, number of close friends, and interpersonal trust). METHOD: Cross-lagged panel models (CLPMs) and random intercepts cross-lagged panel models (RI-CLPMs) were used to analyze the prospective associations between variables in a nationally representative adult sample from Germany (N = 5,663 to 11,079 per analysis; 2-4 measurement waves with lags of 4-5 years). RESULTS: CLPMs indicated that higher neuroticism was related to lower life satisfaction, higher loneliness, fewer friends, and lower interpersonal trust, but not vice versa. At the within-person level, RI-CLPMs revealed similar findings with increased neuroticism predicting decreases in life satisfaction, increases in loneliness, and decreases in interpersonal trust. Indices of social adaptation partially mediated the link between neuroticism and life satisfaction at the between-person but not at the within-person level. Exploratory multigroup analyses support the generalization of the cross-lagged effects of neuroticism on life satisfaction and social adaptation across age, gender, and geographical regions (East versus West Germany). CONCLUSIONS: These findings highlight the role of neuroticism in shaping psychosocial outcomes over time.

The Relationship between Mindfulness and Social Adaptation among Migrant Children in China: The Sequential Mediating Effect of Self-Esteem and Resilience.

Social adaptation of migrant children is not only related to the physical and mental health and development of individuals, but also reflects the level of urban social integration and stable development. Mindfulness has a protective effect on individual social adaptation. Self-esteem and resilience were found to be positively associated with mindfulness and social adaptation. Based on the Positive Youth Development Perspective, this study aimed to explore whether self-esteem and resilience sequentially mediated the associations among mindfulness and social adaptation. A total of 526 migrant children were assessed with the questionnaires regarding mindfulness, self-esteem, resilience, and social adaptation. The results indicated that mindfulness was positively associated with social adaptation of migrant children. Self-esteem and resilience played the sequential mediating roles between mindfulness and social adaptation. The present study revealed the influence and mechanism of mindfulness on social adaptation and provided some guidance for the intervention programs to promote migrant children's adaptability.

Effect of the Use of Home and Community Care Services on the Multidimensional Health of Older Adults.

Home and community care is an important way to actively respond to population aging and to promote healthy aging. This study aims to estimate the effect of using home and community care services on the multidimensional health of older adults. We used data from the China Health and Retirement Longitudinal Study conducted in 2018 and relied mainly on the propensity score matching method for data analysis. The results showed that using home and community care increased the probability of maintaining and improving physical health by 2.9%, decreased the score of depression by 0.471, and improved the score of cognitive function by 0.704. Using home and community care also increased the probability of actively participating in life by 4.1% and elevated the score of life satisfaction by 0.088. The heterogeneity analysis showed that the use of home and community care had a significant effect on promoting all health indicators in rural older adults and a more obvious promoting effect on the social adaptation of urban older adults. Using home and community care significantly promoted the multidimensional health of people aged 60 to 79 years but had no impact among people aged ≥ 80 years. The use of home and community care significantly improved all health indicators in non-disabled older adults. Whereas, it only improved the levels of cognitive function and life satisfaction in disabled older people. Using this form of care significantly improved all health indicators in those with low socio-economic status, but it only had a partial positive effect on the multidimensional health of those with high socio-economic status. Our results are of importance to the government as they may be used to further improve the quality of home and community care services for the targeted older population.

[SOCIAL HEALTH OF PEOPLE WITH DISABILITIES IN THE CONTEXT OF SOCIAL CHANGE].

Absolutely all over the world there is a constant increase in the number of people with disabilities, as a result of a number of economic, social, ecological, demographic reasons. The share of disabled people on the territory of the Pridnestrovian Moldavian Republic has remained high in recent years. The article touches upon the issues of qualitative indicators of the social health of people with disabilities, gives a fundamental characteristic of social health. A questionnaire survey was conducted in February 2018 among people with disabilities, and for the purpose of additional study, interviews with people of working age with disabilities were conducted in March 2022. The results of the author's research on the territory of the Pridnestrovian Moldavian Republic among people with disabilities on the subject of studying the processes of socialization and social adaptation in society are presented. Based on the conducted quantitative and qualitative research methods, the main trends regarding the social health of people with disabilities were identified. The main barriers on the way to successful integration processes hindering socialization and social adaptation are outlined. The above results necessitate the modernization of the current system of targeted support for people with disabilities.

Personalidade, ansiedade social e adaptação às medidas de distanciamento durante a pandemia / Personality, social anxiety and adaptation to distancing measures during the pandemic / Personalidad, ansiedad social y adaptación a medidas de distanciamiento durante la pandemia

O impacto da pandemia de COVID-19 está mudando drasticamente a vida das pessoas. O distanciamento social representa evitar o contato durante o surto de uma doença para minimizar a exposição. Essa condição também pode contribuir para o agravamento de determinados transtornos mentais. O presente estudo teve como objetivo avaliar em que medida características de personalidade e ansiedade social podem contribuir para uma maior dificuldade em lidar com o distanciamento social. Foram avaliados 1.120 indivíduos por meio da Escala de Ansiedade Social de Liebowitz (LSAS), marcadores da personalidade. A análise de regressão logística mostrou que neuroticismo, ansiedade social e as horas adicionais em casa revelaram-se preditores significativos de uma maior dificuldade. Conclui-se que o transtorno de ansiedade social apresenta especificidades em sua manifestação durante a pandemia. (AU)

The impact of the COVID-19 pandemic has drastically changed people's lives. Social distancing means avoiding close contact with others during a contagious disease outbreak to minimize exposure. Such constraints may also contribute to the worsening of certain mental health disorders. The present study aimed to evaluate the extent to which personality features and social anxiety may contribute to greater difficulties in coping with social distancing practices. A total of 1120 individuals were assessed using the Liebowitz Social Anxiety Scale (LSAS) and personality mini-markers to assess personality traits. Logistic regression analysis revealed that neuroticism, social anxiety, and the number of additional hours one spends at home represent significant predictors of greater difficulty. Thus, results showed that social anxiety disorder had specific presentations during the course of the COVID-19 pandemic. (AU)

El impacto de la pandemia de COVID-19 está cambiando drásticamente la vida de las personas. El distanciamiento social significa evitar el contacto cercano con otras personas durante el brote de una enfermedad contagiosa para minimizar la exposición. Esta condición también puede contribuir al empeoramiento de algunos trastornos mentales. Este estudio tuvo como objetivo evaluar en qué medida las características de personalidad y la ansiedad social pueden contribuir a una mayor dificultad para soportar el distanciamiento social. Se evaluó un total de 1120 individuos mediante la Escala de Ansiedad Social de Liebowitz (LSAS) y marcadores reducidos para evaluar la personalidad. El análisis de regresión logística mostró que el neuroticismo, la ansiedad social y el número de horas adicionales en el hogar fueron predictores significativos de mayor dificultad. Se concluye que el trastorno de ansiedad social presenta manifestaciones específicas durante la pandemia. (AU)