scholarly journals 204 - Psychological distress and support needs of community residing older adults in urban India – An exploratory study

2021 ◽  
Vol 33 (S1) ◽  
pp. 8-9
Author(s):  
Jayashree Dasgupta ◽  
Meenakshi Chopra

Background:COVID pandemic in India, lockdowns and an unprepared health system has affected wellbeing of older adults. Low public awareness about mental health issues and stigma also contribute to low help seeking. Exploring impact of COVID on mental health of older adults and understanding support needs is essential.Research Objective:To examine mental wellbeing and coping strategies used by urban community residing older adults during the pandemic in India.Method:As part of an ongoing community engagement initiative with older adults and their families, an online survey was conducted during the first wave of the pandemic in April/May 2020. Sociodemographic details and information on coping strategies were gathered. The five-item General Health Questionnaire (GHQ) was used to screen for psychological distress and data were analyzed using descriptive statistics. Respondents were contacted again in May 2021 during the second COVID wave for a telephonic interview to understand current levels of distress and coping strategies. Consent was taken for audio recording and interviews were conducted using a semi-structured interview guide. Interviews were transcribed and analyzed using thematic analysis.Preliminary results of the ongoing study:Respondents (N=54) aged between 40-86 years (Mn = 60; SD = 18.9). Majority were male (61%), retired or homemakers (57%) and widowed/unmarried (52%). Of the sample 70% had one or more pre-existing medical conditions. A score of ≥ 2 on GHQ in 66% respondents indicates psychological distress. Stressors included health and well-being of family (62%), difficulty managing household work (42%) and increase in family conflicts (17%). Although 72% discussed their worries with family/friends, only 25% considered speaking with a mental health professional indicating low help seeking. Of respondents contacted again, 40% citied ill health or being busy as reasons for refusal to participate. Of those who agreed, 33% reported psychological distress. In-depth interviews, showed use of online mental wellness sessions and yoga/meditation to be beneficial coping strategies. Need for more online support groups was also highlighted.Conclusion:Psychological distress is present amongst community residing older adults in urban India. A change in attitude towards tele mental health must be leveraged to provide support for adults experiencing psychological distress.

2020 ◽  
Author(s):  
Maria Laura Bettinsoli ◽  
Daniela Di Riso ◽  
Jaime Napier ◽  
Lorenzo Moretti ◽  
Pierfrancesco Bettinsoli ◽  
...  

Background–The pandemic of COVID-19 in Italy represents a unique threat in terms of psychological distress, especially among healthcare professionals. This study represents a first attempt to investigate both the psychological states and coping strategies of Italian healthcare professionals during the COVID-19 outbreak. Importantly, we assessed psychological distress and coping strategies regarding two phases, pre-COVID (asking participants to retrospectively recall their state in December 2019) and during the time of survey, which was in the midst of the COVID emergency outbreak (March-April 2020).Methods–Self-administered questionnaires were distributed online to healthcare professionals of different Italian regions from March 26 to April 9, 2020. The questionnaire included three main sections measuring changes in psychological states, coping strategies and demographic variables. Two linear regression models were run to analyze variations in both general health and infection-risk perception depending on changes in psychological states, coping strategies, personality trait, and demographic variables.Results– Altogether, the direct exposure to the virus and a negative impact of the COVID-19 emergency outbreak on contextual psychological functioning contribute to the deterioration of physical and mental health, which may lead to severe future consequences for Italian healthcare workers, if not provided immediately with an effective support program. Conclusions– Both immediate and long-term monitoring psychological assistance services for healthcare workers should be implemented by local and national institutions to reestablish psychological well-being and enhance self-confidence and resilience of Italian hospital personnel. These intervention programs should especially target women, and professionals at their first steps into the hospital job.


Author(s):  
Brenda R Whitehead

Abstract Objectives The extent to which the COVID-19 pandemic is appraised as a stressor influences perceived stress (PS) and psychological well-being during the event. Here, the association of older adults’ expectations concerning the pandemic’s duration and impact with PS and negative affect (NA) is investigated. Based on the stress and coping framework, PS is expected to mediate the association between COVID-19 expectations and NA. Methods Seven hundred fourteen residents of the United States and aged 60 and older completed an anonymous online survey in late March 2020 reporting PS, NA, and expectations regarding the pandemic. Results Regression analyses controlling for demographic factors revealed that more dire pandemic expectations significantly predicted PS and NA directly, and the effects on NA were significantly mediated by PS. Discussion Findings provide evidence that expectations about a pandemic influence the extent to which older adults experience stress and NA in the midst of a pandemic event. Implications for mental health are discussed.


2021 ◽  
Vol 12 ◽  
Author(s):  
Maria José Ferreira ◽  
Rui Sofia ◽  
David F. Carreno ◽  
Nikolett Eisenbeck ◽  
Inês Jongenelen ◽  
...  

The global COVID-19 pandemic crisis has caused an unprecedented impact on most areas of people’s lives. Thus, framed within the scope of Existential Positive Psychology (PP2.0), this study aimed at assessing the psychological distress of adults living in Portugal during the first national lockdown, how they are coping with stress, as well to contribute to a deeper understanding about the role that positivity, experiential avoidance, and coping strategies have in psychological distress and well-being. For this purpose, 586 Portuguese adults (73% females) ranging between 18 and 78 years old (M = 38.96, SD = 12.20) completed an online survey during the initial phase of the pandemic crisis in Portugal. Findings suggest that experiential avoidance was the strongest predictor of a negative response (depression, anxiety, stress, loneliness, and negative emotions), whereas positivity was a better predictor of psychological well-being and lower levels of depression. Additionally, self-blame, behavioral disengagement, and emotional venting were strong risk factors for psychological distress, whereas positive reframing, planning, and acceptance were associated with more positive outcomes. These findings highlight the critical role of experiential avoidance on individuals’ psychological distress and the essential contribution of positive life orientation in promoting flourishing. By offering a better understanding of the complex navigation through the dialectics between positive and negative life features, this study provides important and useful cues for psychological interventions directed at promoting a more positive and adaptive human functioning even through such potential adverse and painful life events.


2020 ◽  
Author(s):  
Jillian Minahan ◽  
Francesca Falzarano ◽  
Neshat Yazdani ◽  
Karen L Siedlecki

Abstract Background and Objectives The emergence of the Coronavirus Disease 2019 (COVID-19) and the measures implemented to curb its spread may have deleterious effects on mental health. Older adults may be at increased risk for adverse psychosocial outcomes since opportunities to remain socially connected have diminished. Research is needed to better understand the impact of pandemic-related stress on mental health. The purpose of this study is three-fold: 1) to examine the influences of COVID-19 pandemic-related stress on depression, anxiety, and loneliness, 2) to assess the mediating role of coping style and social support, and 3) to investigate whether these relationships vary across age. Research Design and Methods Participants (N = 1,318) aged 18-92 years completed an online survey assessing pandemic-related stress, mental health, social support, coping, and their experiences with social distancing, during the initial implementation of social distancing measures in the United States. Results Social support and coping style were found to relate to psychosocial outcomes. Avoidant coping was the strongest mediator of the relationship between pandemic-related stress and psychosocial outcomes, particularly depression. Avoidant coping more strongly mediated the relationship between stress and depression in younger adults compared to older adults. Discussion and Implications Results were consistent with the stress and coping framework and recent work highlighting older adults’ resilience during the COVID-19 pandemic. Findings highlight the associations between positive coping behaviors and psychosocial well-being and indicate that older adults may use unique adaptive mechanisms to preserve well-being during the COVID-19 pandemic.


2021 ◽  
Vol 9 (1) ◽  
Author(s):  
T. Muhammad ◽  
Shobhit Srivastava ◽  
T. V. Sekher

Abstract Background As the older population aged 65 and over worldwide, is estimated to increase from 9% in 2019 to 16% in 2050, rapid aging will transform the aspects such as economic security, employment status, and family structure. The effects of lower levels of perceived income and poor socioeconomic status on the mental health of older adults appear to be large and enduring. Therefore, the present study contributes to the literature on understanding the association of socioeconomic conditions and self-perceived income status in particular, with self-assessed mental health outcomes (psychological distress and subjective well-being) among older adults in India. Methods Data for the present study was derived from the Building Knowledge Base on Population Ageing (BKPAI) in India. Bivariate and binary logistic regression analyses were conducted to understand the relationship between socioeconomic status and outcome variables. Results About 43% of older adults had no income whereas 7% had income but perceived as not sufficient to fulfil their basic needs. Nearly, 9% of older adults were retired from regular employment. Almost 70% older adults had received no pension and nearly 18% of older adults had no asset ownership. It is revealed that older adults with income that is partially sufficient to fulfil their basic needs were 2.23 times [OR: 2.23, CI: 1.75–2.84] and 1.96 times [OR: 1.96, CI: 1.55–2.47] significantly more likely to suffer from psychological distress and low subjective well-being than those who had income which was sufficient to fulfil their basic needs. Conclusions By focusing on four target areas such as the income support, education, family oriented initiatives and local or regional policies, the current framework for assessing the mental health among older adults in India can be modified. A move towards a guaranteed pension for eligible older individuals by which they do not have to remain as a financial burden on their children, may reduce their self-perceived economic distress and result in higher levels of wellbeing in older ages. Also, strategies to address socioeconomic disadvantages and gender differentials related to mental health status among older population are urgently needed.


2020 ◽  
Vol 11 (1) ◽  
Author(s):  
Lan Jin ◽  
Lalatendu Acharya

Talking about depression with parents is a challenging exercise for the Chinese international students (CIS) as well as their parents due to the Chinese cultural context and family hierarchical structure. The study engages with the parents of CIS to identify their dilemmas and coping strategies employed to discuss depression with CIS studying in United States. Thirteen Chinese parents of CIS were recruited into in-depth interviews through convenience sampling, till data saturation. Constant comparative method was employed for data analysis. The results informed that the parents struggled with dilemmas of talking about depression. Four coping strategies emerged from the dialogues: (a) communicate openly, (b) improve understanding through social media and shared experience, (c) show a respectful, sensitive and non-judgmental attitude, and (d) encourage help seeking and other support strategies. The findings provide crucial insights for higher education interventions that promote social support especially in the context of mental health among CIS.


2021 ◽  
Vol 14 (3) ◽  
pp. 82
Author(s):  
Panshuo Shen ◽  
Paul Slater

The level of stress among academics in higher education institutions has significantly increased over the past decade. Mental health and well-being of academics can be affected once they are exposed to stressful work conditions and use negative coping strategies. This study was set against the backdrop of the pandemic disease, COVID-19, which has challenged the daily work of academics and risen to the various new stressors. This study aims to investigate the current status of occupational stress, coping styles, mental health and emotional well-being of university academics during the COVID-19 outbreak in Northern Ireland, and examine the effect of stress and coping strategies on mental health and emotional well-being. A cross-sectional online survey was conducted using a sample size of 87 academic staff working in a university in Northern Ireland. SPSS version 25 was used to analyse the collected data. The results showed academics experienced moderate stress levels, and distraction behaviours were the most common form of coping mechanism. Academics were in the moderate status of mental health and poor emotional well-being. Occupational stress has a significant effect on mental health and emotional well-being. Positive reframing and acceptance coping styles have an impact on emotional well-being. This study contributes to the understanding of occupational stress, coping strategies, mental health and emotional well-being of academics in higher education in Northern Ireland. The findings can help to develop reliable methods to inform policy on health and well-being for university academics, which in turn lead to increased productivity at work.


PLoS ONE ◽  
2021 ◽  
Vol 16 (9) ◽  
pp. e0257304
Author(s):  
Ahmed Suparno Bahar Moni ◽  
Shalimar Abdullah ◽  
Mohammad Farris Iman Leong Bin Abdullah ◽  
Mohammed Shahjahan Kabir ◽  
Sheikh M. Alif ◽  
...  

Introduction The COVID-19 pandemic has enormously affected the psychological well-being, social and working life of millions of people across the world. This study aimed to investigate the psychological distress, fear and coping strategies as a result of the COVID-19 pandemic and its associated factors among Malaysian residents. Methods Participants were invited to an online cross-sectional survey from Aug-Sep 2020. The study assessed psychological distress using the Kessler Psychological Distress Scale, level of fear using the Fear of COVID-19 Scale, and coping strategies using the Brief Resilient Coping Scale. Univariate and multivariate logistic regression analyses were conducted to adjust for potential confounders. Results The mean age (±SD) of the participants (N = 720) was 31.7 (±11.5) years, and most of them were females (67.1%). Half of the participants had an income source, while 216 (30%) identified themselves as frontline health or essential service workers. People whose financial situation was impacted due to COVID-19 (AOR 2.16, 95% CIs 1.54–3.03), people who drank alcohol in the last four weeks (3.43, 1.45–8.10), people who were a patient (2.02, 1.39–2.93), and had higher levels of fear of COVID-19 (2.55, 1.70–3.80) were more likely to have higher levels of psychological distress. Participants who self-isolated due to exposure to COVID-19 (3.12, 1.04–9.32) and who had moderate to very high levels of psychological distress (2.56, 1.71–3.83) had higher levels of fear. Participants who provided care to a family member/patient with a suspected case of COVID-19 were more likely to be moderately to highly resilient compared to those who did not. Conclusion Vulnerable groups of individuals such as patients and those impacted financially during COVID-19 should be supported for their mental wellbeing. Behavioural interventions should be targeted to reduce the impact of alcohol drinking during such crisis period.


2020 ◽  
Author(s):  
Alayna Park ◽  
Clarissa V. Velez ◽  
Kamini Kannan ◽  
Bruce F. Chorpita

This study explored how individuals living in the United States were experiencing and responding to stress related to the COVID-19 pandemic in May 2020. Participants (N = 408; 60% non-Hispanic White) completed an online survey regarding traumatic stress, functional impairment, and use of and perceived helpfulness of various coping strategies. Results showed that 37% of participants endorsed clinically-elevated PTSD symptoms. Approximately half of participants reported changes in their daily functioning from before the pandemic to present, most notably in their number of social interactions, physical activity, and time spent working. To cope, participants reported engaging in safety planning and behavioral activation, which they also perceived to be helpful in managing stress. Avoidance coping strategies involving use of alcohol, tobacco products, or recreational substances were infrequently endorsed and perceived to be minimally helpful. These findings offer an initial, data-based glimpse into the mental health impact of the COVID-19 pandemic and shed light onto opportunities for promoting mental health and well-being during this unprecedented and multifaceted crisis.


Sign in / Sign up

Export Citation Format

Share Document