Positive interventions in depression change the structure of well-being and psychological symptoms: A network analysis

The onset of the infectious disease Covid19 originating in Wuhan, China, took over the world in December 2019 and was declared a pandemic in January 2020. Empirical evidence resulting from relevant research illustrated that the effects of the pandemic itself but also of the strict measures to contain the spread of the virus on the mental health and well-being of affected populations were just as unanticipated as the pandemic itself. Data led to the identification of six idioms of distress: (1) Demoralization and pessimism towards the future, (2) anguish and stress, (3) self-depreciation, (4) social withdrawal and isolation, (5) somatization, (6) withdrawal into oneself. Our research explores the psychological impact of the Covid19 pandemic on college students and their quality of life. The study took place in Cyprus with 356 young participants, whereas 256 were female (72%) and 100 were male (28%). They all completed the General Health Questionnaire-28 and the Life Satisfaction Inventory (LSI). The present study's findings revealed that six factors, including residence without family, the deterioration of the financial situation of the family, the loss of employment, the deterioration of social relationships, young age, and gender, have significantly affected in a negative way the mental health and quality of life of young people. Research findings revealed that the strict lockdown and physical/social isolation measures had a significant adverse effect on our sample, whereas participants showed increased symptoms of anxiety and insomnia, social dysfunction, and somatization. Young adults who lost their jobs during the pandemic or had a significant decrease in their family income, and students who stayed away from their families, experienced a negative impact on their quality of life and had to cope with more mental health problems.

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Health Care Workers’ Mental Health During the First Weeks of the SARS-CoV-2 Pandemic in Switzerland – A Cross-Sectional Study

10.1101/2020.05.04.20088625 ◽

2020 ◽

Cited By ~ 2

Author(s):

Sonja Weilenmann ◽

Jutta Ernst ◽

Heidi Petry ◽

Monique C. Pfaltz ◽

Onur Sazpinar ◽

...

Keyword(s):

Mental Health ◽

Health Care ◽

Network Analysis ◽

Health Care Workers ◽

Well Being ◽

Perceived Support ◽

Independent Effect ◽

Cross Sectional ◽

Care Workers ◽

Anxiety Depression

AbstractBackgroundThe current SARS-CoV-2 pandemic poses various challenges for health care workers (HCWs), which may impair their mental health. First evidence from China suggests that HCWs are at risk for anxiety and depression. However, generalizability to western countries is limited. The current study aimed at exploring HCWs’ mental health during the SARS-CoV-2 pandemic in Switzerland. In addition, we conducted a network analysis to investigate the independent effect of risk and protective factors on HCWs’ mental health and their interplay.MethodsIn an exploratory, cross-sectional, nation-wide online survey, we assessed demographics, work characteristics, COVID-19 exposure, and anxiety, depression, and burnout in 857 physicians and 553 nurses during the pandemic in Switzerland. At the time of data collection, Switzerland had among the highest per capita rate of COVID-19 cases in the world.ResultsOverall symptom levels of anxiety, depression, and burnout were elevated. Women, nurses, frontline staff and HCWs exposed to COVID-19 patients reported more symptoms than their peers. However, these effects were all small and, in the network analysis, most of them did not remain significant after controlling for the other factors. Whereas COVID-19 exposure was only partially associated with mental health, perceived support by the employer independently predicted anxiety and burnout.ConclusionsOur finding that HCWs had elevated levels of anxiety, depression, and burnout underscores the importance to systematically monitor HCWs’ mental health during this ongoing pandemic. Because perceived support and mental health impairments were negatively related, we encourage the implementation of supportive measures for HCWs’ well-being during this crisis.

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The Relation Between Official WhatsApp-Distributed COVID-19 News Exposure and Psychological Symptoms: Cross-Sectional Survey Study (Preprint)

10.2196/preprints.22142 ◽

2020 ◽

Author(s):

Jean C J Liu ◽

Eddie M W Tong

Keyword(s):

Protective Factor ◽

Psychological Symptoms ◽

Well Being ◽

Primary Outcome Measure ◽

World Health ◽

Survey Study ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Global Pandemic ◽

Health Organization

BACKGROUND In a global pandemic, digital technology offers innovative methods to disseminate public health messages. As an example, the messenger app WhatsApp was adopted by both the World Health Organization and government agencies to provide updates on the coronavirus disease (COVID-19). During a time when rumors and excessive news threaten psychological well-being, these services allow for rapid transmission of information and may boost resilience. OBJECTIVE In this study, we sought to accomplish the following: (1) assess well-being during the pandemic; (2) replicate prior findings linking exposure to COVID-19 news with psychological distress; and (3) examine whether subscription to an official WhatsApp channel can mitigate this risk. METHODS Across 8 weeks of the COVID-19 outbreak (March 7 to April 21, 2020), we conducted a survey of 1145 adults in Singapore. As the primary outcome measure, participants completed the Depression, Anxiety, and Stress Scale (DASS-21). As predictor variables, participants also answered questions pertaining to the following: (1) their exposure to COVID-19 news; (2) their use of the Singapore government’s WhatsApp channel; and (3) their demographics. RESULTS Within the sample, 7.9% of participants had severe or extremely severe symptoms on at least one DASS-21 subscale. Depression scores were associated with increased time spent receiving COVID-19 updates, whereas use of the official WhatsApp channel emerged as a protective factor (b=–0.07, t[863]=–2.04, P=.04). Similarly, increased anxiety scores were associated with increased exposure to both updates and rumors, but this risk was mitigated by trust in the government’s WhatsApp messages (b=–0.05, t[863]=–2.13, P=.03). Finally, although stress symptoms increased with the amount of time spent receiving updates, these symptoms were not significantly related to WhatsApp use. CONCLUSIONS Our findings suggest that messenger apps may be an effective medium for disseminating pandemic-related information, allowing official agencies to reach a broad sector of the population rapidly. In turn, this use may promote public well-being amid an “infodemic.” CLINICALTRIAL ClinicalTrials.gov NCT04305574; https://clinicaltrials.gov/ct2/show/NCT04305574

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Experiences of Family Caregivers of People with Dementia during the COVID-19 Pandemic

Western Journal of Nursing Research ◽

10.1177/01939459211055773 ◽

2021 ◽

pp. 019394592110557

Author(s):

Melissa L. Harris ◽

Marita G. Titler

Keyword(s):

Family Caregivers ◽

Psychological Symptoms ◽

Behavioral Responses ◽

Well Being ◽

Comparative Methods ◽

People With Dementia ◽

Effective Care ◽

Exploratory Approach ◽

Person With Dementia ◽

Behavioral And Psychological Symptoms

Although behavioral and psychological symptoms are burdensome for people with dementia and their caregivers, perceptions of family caregivers regarding management of these symptoms are unclear. This study explored the experiences of family caregivers regarding behavioral and psychological symptoms experienced by relatives with dementia, management of these symptoms, and changes in their experiences during the COVID-19 pandemic. A qualitative, exploratory approach using constant comparative methods was used; 21 family caregivers were interviewed virtually. The following 10 major themes emerged: (1) Emotional and psychological experiences of caregiver, (2) emotional, psychological, and behavioral responses of person with dementia, (3) cognition of person with dementia, (4) loss, (5) concerns for the future, (6) reliance, (7) learning to caregive, (8) rewarding aspects of caregiving, (9) caregiver perspectives, and (10) care strategies. Caregivers described many challenges to care before and during the pandemic. Acceptable and effective care strategies are needed to promote the well-being of families living with dementia.

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Positive Interventions and Theoretical Assumptions

Positive Psychotherapy ◽

10.1093/med-psych/9780195325386.003.0002 ◽

2018 ◽

pp. 8-21

Author(s):

Tayyab Rashid ◽

Martin Seligman

Keyword(s):

Life Satisfaction ◽

Health Outcomes ◽

Therapeutic Relationship ◽

Positive Emotions ◽

Character Strengths ◽

Well Being ◽

Clinical Settings ◽

Positive Interventions ◽

Theoretical Assumptions

Positive psychology interventions applied in diverse clinical settings and tackling complex clinical issues are advancing the knowledge base of psychotherapy and health outcomes. Positive psychotherapy (PPT) is based primarily on two major theories: Seligman’s PERMA (Positive emotions, Engagement, Relationships, Meaning, and Accomplishment) conceptualization of well-being and character strengths. PPT also operates on three assumptions regarding the nature, cause, course, and treatment of specific behavioral patterns: (a) inherent capacity for growth, (b) the authenticity of strengths compared to symptoms, and (c) the role of positives in fostering a of the therapeutic relationship. The notion of happiness espoused in PPT is much more than the sum of its components that can be pursued simultaneously with each individually association with life satisfaction.

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HOMESIDE: home-based family caregiver-delivered music and reading interventions for people living with dementia: protocol of a randomised controlled trial

BMJ Open ◽

10.1136/bmjopen-2019-031332 ◽

2019 ◽

Vol 9 (11) ◽

pp. e031332 ◽

Cited By ~ 1

Author(s):

Felicity Anne Baker ◽

Jodie Bloska ◽

Sabine Braat ◽

Anna Bukowska ◽

Imogen Clark ◽

...

Keyword(s):

Randomised Controlled Trial ◽

Psychological Symptoms ◽

Controlled Trial ◽

Well Being ◽

Resource Utilisation ◽

Home Setting ◽

Randomised Study ◽

People With Dementia ◽

Home Based ◽

Randomised Controlled

IntroductionPharmacological interventions to address behavioural and psychological symptoms of dementia (BPSD) can have undesirable side effects, therefore non-pharmacological approaches to managing symptoms may be preferable. Past studies show that music therapy can reduce BPSD, and other studies have explored how formal caregivers use music in their caring roles. However, no randomised study has examined the effects on BPSD of music interventions delivered by informal caregivers (CGs) in the home setting. Our project aims to address the need for improved informal care by training cohabiting family CGs to implement music interventions that target BPSD, and the quality of life (QoL) and well-being of people with dementia (PwD) and CGs.Methods and analysisA large international three-arm parallel-group randomised controlled trial will recruit a sample of 495 dyads from Australia, Germany, UK, Poland and Norway. Dyads will be randomised equally to standard care (SC), a home-based music programme plus SC, or a home-based reading programme plus SC for 12 weeks. The primary outcome is BPSD of PwD (measured using the Neuropsychiatric Inventory-Questionnaire). Secondary outcomes will examine relationship quality between CG and PwD, depression, resilience, competence, QoL for CG and QoL for PwD. Outcomes will be collected at baseline, at the end of the 12-week intervention and at 6 months post randomisation. Resource Utilisation in Dementia will be used to collect economic data across the life of the intervention and at 6-month follow-up. We hypothesise that the music programme plus SC will generate better results than SC alone (primary comparison) and the reading programme plus SC (secondary comparison).Ethics and disseminationEthical approval has been obtained for all countries. Results will be presented at national and international conferences and published in scientific journals and disseminated to consumer and caregiver representatives and the community.Trial registration numbersACTRN12618001799246p; NCT03907748

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Personnel Well-Being in the Helsinki University Hospital during the COVID-19 Pandemic—A Prospective Cohort Study

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17217905 ◽

2020 ◽

Vol 17 (21) ◽

pp. 7905

Author(s):

Henna Haravuori ◽

Kristiina Junttila ◽

Toni Haapa ◽

Katinka Tuisku ◽

Anne Kujala ◽

...

Keyword(s):

Nursing Staff ◽

Support Services ◽

Psychosocial Support ◽

Psychological Symptoms ◽

Well Being ◽

University Hospital ◽

Baseline Survey ◽

Hospital District ◽

Electronic Survey ◽

First Results

In March 2020, strict measures took place in Finland to limit the COVID-19 pandemic. Majority of Finnish COVID-19 patients have been located in southern Finland and consequently cared for at the Hospital District of Helsinki and Uusimaa (HUS) Helsinki University Hospital. During the pandemic, HUS personnel’s psychological symptoms are followed via an electronic survey, which also delivers information on psychosocial support services. In June 2020, the baseline survey was sent to 25,494 HUS employees, 4804 (19%) of whom answered; altogether, 62.4% of the respondents were nursing staff and 8.9% were medical doctors. While the follow-up continues for a year and a half, this report shares the sociodemographic characteristics of the respondents and the first results of psychological symptoms from our baseline survey. Out of those who were directly involved in the pandemic patient care, 43.4% reported potentially traumatic COVID-19 pandemic-related events (PTEs) vs. 21.8% among the others (p < 0.001). While over a half of the personnel were asymptomatic, a group of respondents reported PTEs and concurrent depression, insomnia, and anxiety symptoms. This highlights the need to ensure appropriate psychosocial support services to all traumatized personnel; especially, nursing staff may require attention.

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Relationships between emotional schemas, mindfulness, self-compassion and unconditional self-acceptance on the regulation of psychological needs

Research in Psychotherapy Psychopathology Process and Outcome ◽

10.4081/ripppo.2020.442 ◽

2020 ◽

Vol 23 (2) ◽

Cited By ~ 1

Author(s):

Bruno Faustino ◽

António Branco Vasco ◽

Ana Nunes Silva ◽

Telma Marques

Keyword(s):

Experiential Avoidance ◽

Clinical Decision Making ◽

Psychological Symptoms ◽

Well Being ◽

Clinical Decision ◽

Psychological Needs ◽

Self Report ◽

Cross Sectional ◽

Self Compassion ◽

Self Acceptance

Emotional schemas are pervasive mental structures associated with a wide array of psychological symptoms, while mindfulness, self-compassion, and self-acceptance are viewed as adaptive psychological constructs. Psychological needs may be described as the cornerstone of mental health and well-being. However, a study of the relationships between emotional schemas, mindfulness, self-compassion, and self-acceptance with psychological needs was not performed. For this purpose, 250 subjects (M=20.67, SD=4.88, Male=33, Female=217), were evaluated through self-report questionnaires, in a cross-sectional design. Negative correlations were found between emotional schemas, mindfulness, self-compassion, unconditional self-acceptance, and psychological needs. Symptomatology was positively correlated with emotional schemas. Mindfulness, self-compassion, and unconditional self-acceptance predicted the regulation of psychological needs and mediated the relationship between emotional schemas and psychological needs. Emotional schemas may be associated with a tendency for experiential avoidance of internal reality, self-rejection/shame and self-criticism which may impair the regulation of psychological needs. These variables may be targets of integrative case conceptualization and clinical decision making focused on patient’s timings, styles of communication and needs.

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