scholarly journals Evaluating How and Why the Environmental Context Shapes the Course of Development Across the Adult Lifespan

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 391-391
Author(s):  
Omar Staben ◽  
Frank Infurna ◽  
Eileen Crimmins

Abstract There is a long-standing literature that has documented the importance of both the immediate and distal context in impacting mental and physical health across the adult lifespan. The goal of this symposium is to bring together a collection of papers that target the extent to which the immediate and distal context as measured through objective and subjective indicators relate to pertinent outcomes of mental and physical health. Staben and colleagues use an intensive longitudinal design in middle-aged adults to show that objective and subjective indicators of the neighborhood are associated with higher levels of and are protective against the impact of monthly adversity on mental health and well-being. Munoz and colleagues evaluate associations between objective and subjective early-life neighborhood contexts and whether they play a role in cognitive function at midlife. They find that poorer age-five self-report conditions were associated with lower working memory. Osuna and colleagues examine how both neighborhood and housing conditions play a role on psychological well-being. They find that housing and neighborhood safety conditions are associated with depressive symptoms over time. Piazza and colleagues examine associations between daily financial thoughts, SES, and indices of emotional and physical health. They find that individuals who reported more daily financial thoughts also reported more negative affect and physical symptoms. The discussion by Crimmins will integrate the four papers by highlighting the importance of how different forms of context can impact development in adulthood and old age, particularly in relation to health and well-being and consider future routes of inquiry.

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Jodi Oakman ◽  
Natasha Kinsman ◽  
Rwth Stuckey ◽  
Melissa Graham ◽  
Victoria Weale

Abstract Background The coronavirus (COVID-19) pandemic has resulted in changes to the working arrangements of millions of employees who are now based at home and may continue to work at home, in some capacity, for the foreseeable future. Decisions on how to promote employees’ health whilst working at home (WAH) need to be based on the best available evidence to optimise worker outcomes. The aim of this rapid review was to review the impact of WAH on individual workers’ mental and physical health, and determine any gender difference, to develop recommendations for employers and employees to optimise workers’ health. Method A search was undertaken in three databases, PsychInfo, ProQuest, and Web of Science, from 2007 to May 2020. Selection criteria included studies which involved employees who regularly worked at home, and specifically reported on physical or mental health-related outcomes. Two review authors independently screened studies for inclusion, one author extracted data and conducted risk of bias assessments with review by a second author. Results Twenty-three papers meet the selection criteria for this review. Ten health outcomes were reported: pain, self-reported health, safety, well-being, stress, depression, fatigue, quality of life, strain and happiness. The impact on health outcomes was strongly influenced by the degree of organisational support available to employees, colleague support, social connectedness (outside of work), and levels of work to family conflict. Overall, women were less likely to experience improved health outcomes when WAH. Conclusions This review identified several health outcomes affected by WAH. The health/work relationship is complex and requires consideration of broader system factors to optimise the effects of WAH on workers’ health. It is likely mandated WAH will continue to some degree for the foreseeable future; organisations will need to implement formalised WAH policies that consider work-home boundary management support, role clarity, workload, performance indicators, technical support, facilitation of co-worker networking, and training for managers.


2021 ◽  
pp. 140349482199721
Author(s):  
Unni K. Moksnes ◽  
Hanne N. Bjørnsen ◽  
Mary-Elizabeth B. Eilertsen ◽  
Geir Arild Espnes

Aims: Adolescence is a particularly salient period for understanding the role of perceived loneliness for subjective health and well-being. This study investigated sociodemographic differences (sex, age, self-reported socio-economic status (SES)) in loneliness and associations between sociodemographic factors, loneliness and self-rated health (SRH), subjective health symptoms, symptoms of depression/anxiety and mental well-being (MWB) in a sample of Norwegian adolescents. Methods: The study was based on a cross-sectional sample of 1816 adolescents aged 15–21 years. The participants reported scores on an 11-item scale assessing subjective health complaints (SHC), one item each assessing SRH and loneliness, the 10-item version of the Hopkins Symptom Checklist and the seven-item version of the Warwick–Edinburgh Mental Well-Being Scale. SES was assessed using perceived family economy and parents’ education. Data were analysed with descriptive, comparative and multiple linear regression analyses. Results: The multivariate results showed that boys scored significantly higher on MWB than girls did, whereas girls scored significantly higher on loneliness, depression/anxiety and SHC. Perceptions of poorer family finances were significantly associated with higher levels of SHC and depression/anxiety, lower levels of MWB and more negative SRH. Loneliness showed significant positive associations with depression/anxiety and SHC, and significant negative associations with MWB and SRH. A significant moderation effect of sex by loneliness was found in association with depression/anxiety, with stronger associations for girls. Conclusions: The findings in this study support the significant roles of sex, perceptions of family finances and loneliness in association with adolescent’s subjective mental and physical health and well-being, especially mental health.


2021 ◽  
Vol 3 (4) ◽  
pp. 355-359
Author(s):  
Geoffrey V. Henderson ◽  
Andrew J. Elliot

Background: Motivation scientists study goals, self-regulatory tools that are used to help people approach or avoid objects of desire or disdain. Purpose: Using these tools, motivation science can offer insights to guide behaviour and help individuals maintain optimal health and well-being during pandemics, including COVID-19. Results: Avoidance goals help guide behaviour away from negative objects like COVID-19, and are necessary in situations where survival is at stake. Formulating the goal of avoiding COVID-19 is therefore recommended during the pandemic. However, avoidance goals have inherent limitations, in that they tax one’s energy and well-being. To minimize these costs, the pursuit of approach sub-goals may be recommended, such as increasing social connection online or exercising outdoors (particularly prior to widespread vaccination). Conclusion: Adhering to the goal of avoiding COVID-19 prevents infection and saves lives when safe and effective vaccines and treatments are lacking. But avoidance goals have known costs that must be acknowledged and addressed. One solution is to pair avoidance goals with approach sub-goals to bolster mental and physical health while adhering to the ultimate goal of avoiding COVID-19, viral variants, and future contagions. Doi: 10.28991/SciMedJ-2021-0304-7 Full Text: PDF


Author(s):  
Mehrete Girmay ◽  
Gopal K. Singh

Background: Loneliness and social isolation have the ability to affect an individual's mental and physical health. With research linking both to morbidity and premature mortality, their effects must be viewed as important public health problems. Loneliness and social isolation can be especially pronounced in the international student community, particularly at the university level, as this population encounters challenges assimilating to their host university, surrounding community, and host country. This study explores the risks and sociocultural factors associated with loneliness, social isolation, and psychological distress with regards to the overall adjustment of international students. Methods: In this qualitative, narrative case study, 10 international graduate students at a university in the United States participated in two focus group sessions followed by individual interviews. Thematic areas and topics were identified using Barrer's three models of social support. Study was completed between December 2016 and September 2017. Results: All of the participants shared that they had experienced loneliness and social isolation at some point during their acculturative process resulting in perceived xenophobia and a sense of insincerity on behalf of domestic students when attempting to forge connections. For some, these experiences elicited feelings of depression, a disinterest in building connections with domestic students, and in attending social events held on campus and within the community, further exacerbating feelings of loneliness and social isolation. Conclusions and Implications for Translation: Results shed light on the impact that poor acculturation can have on the student's mental and physical health and how bridges between the international and non-international communities can be built and more importantly, sustained. There is a critical need for more effort to be focused on attending to both the mental and physical health needs of migrant students during their stay at the host university. Key words: • Acculturation • Social Isolation • Loneliness • Mental Health • International •  Student   Copyright © 2019 Girmay and Singh. This is an open-access article distributed under the terms of the Creative Com- mons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
A. Fisher ◽  
A. Roberts ◽  
A. R. McKinlay ◽  
D. Fancourt ◽  
A. Burton

Abstract Background The COVID-19 pandemic and associated restrictions caused major global disruption. Individuals with long-term physical health conditions (LTCs) are at higher risk of severe illness and often subject to the strictest pandemic guidance, so may be disproportionally affected. The aim of this study was to qualitatively explore how living with a LTC during the COVID-19 pandemic affected people’s mental health and wellbeing. Methods Participants were people living with LTCs who participated in telephone/video call interviews based on a semi-structured topic guide. Key themes and subthemes were determined using deductive and inductive thematic analysis. Results The sample included 32 participants with LTCs (most commonly cancer, respiratory conditions or cardiovascular diseases), mean age 57 (SD 13) years, 66% female and 72% white British. There were four overarching themes specific to living with a LTC. These were 1) high levels of fear and anxiety related to perceived consequences of catching COVID-19, 2) impact of shielding/isolation on mental health and wellbeing, 3) experience of healthcare during the pandemic and 4) anxiety created by uncertainty about the future. Fourteen subthemes were identified, including concerns about accessing essential supplies and the importance of social support. Individuals who lived alone and were advised to shield could be profoundly negatively affected. Conclusions This study found that there were a number of aspects of living with a LTC during the pandemic that had a significant impact on mental health and well-being. There should be focus on how best to provide practical and social support to people with LTCs during a pandemic, particularly if they have to shield or isolate.


Author(s):  
Alessandro Rovetta ◽  
Lucia Castaldo

Background: Between the end of February and the beginning of June 2020, Italy was certainly one of the worst affected countries in the world by the COVID-19 pandemic. During this period, web interest in the novel coronavirus has undergone a drastic surge. Objective: The aim of this study was to quantitatively analyze the impact of COVID-19 on Web searches related to hygiene-preventive measures and emotional-psychological aspects as well as to estimate the effectiveness and limits of online information during an epidemic. We looked for significant correlations between COVID-19 relative search volumes and cases per region to understand the interest of the average Italian Web user during international, national, and regional COVID-19 situations. By doing so, from the analysis of Web searches, it will be possible to deduce the mental and physical health of the population. Methods: To conduct this research, we used the "Google Trends" tool, which returns normalized values, called "relative search volumes" (RSVs), ranging from 0 to 100 according to the Web popularity of a group of queries. By comparing the RSVs in periods before and after the outbreak of the novel coronavirus in Italy, we derived the impact of COVID-19 on the activity of Italian netizens towards novel coronavirus itself, specifically regarding hygiene, prevention, and psychological well-being. Furthermore, we calculated Pearson's correlations ρ ; between all these queries and COVID-19 cases for each region. We chose a p-value (p) threshold α=.1. Results: After the two initial spikes that occurred on February 23 and March 9, 2020, the general web interest in COVID-19 in Italy waned, as did the correlation with the official number of cases per region (p< .1 only until March 14, 2020). However, web interest was similarly distributed across the regions (ASV=92,SD=6). We also found that all trends depend significantly on the number of COVID-19 cases at national but not international or regional levels. Between February 20 and June 10, 2020, web interest relating to hygiene and prevention increased by 116% and 901%, respectively, compared to those from January 1 to February 19, 2020 (95% CIs: [115.3,116.3],[850.3,952,2]). Significant correlations between regional cumulative web searches and COVID-19 cases were found only between February 26 and March 7, 2020 (ρ-best= .43, 95% CI:[.42,.44],p= .07). During the COVID-19 pandemic until June 10, 2020, national web searches of the generic terms "fear" and "anxiety" grew by 8% and 21%, respectively (95% CIs: [8.0,8.2],[20.4,20.6]) compared to those of the period January 1, 2018 - December 29, 2019. We found cyclically significant correlations between negative emotions related to the novel coronavirus and COVID-19 official data. Conclusions: Italian netizens showed a marked interest in the COVID-19 pandemic only when this became a direct national problem. In general, web searches have rarely been correlated with the number of cases per region; we conclude that the danger, once it arrived in the country, was perceived similarly in all regions. We can state that the period of maximum effectiveness of online information, in relation to this type of situation, is limited to 3-4 days from a specific key event. If such a scenario were to occur again, we suggest that all government agencies focus their web disclosure efforts over that time. Despite this, we found cyclical correlations with web searches related to negative feelings such as anxiety, depression, fear, and stress. Therefore, to identify mental and physical health problems among the population, it suffices to observe slight variations in the trend of related web queries. Keywords: COVID-19, Google Trends, web interests, Italy, novel coronavirus.


2019 ◽  
Vol 2019 ◽  
pp. 1-13 ◽  
Author(s):  
Sara A. Jahnke ◽  
Christopher K. Haddock ◽  
Nattinee Jitnarin ◽  
Christopher M. Kaipust ◽  
Brittany S. Hollerbach ◽  
...  

Intro. Both discrimination and harassment directly impact mental and physical health. Further, workplace discrimination degrades workplace culture and negatively impacts health behaviors, job-related outcomes, and family dynamics. Women represent a small proportion of the fire service and are often the targets of discrimination/harassment, yet little research documents the impact of such experiences. The purpose of this study was to evaluate the relationship between chronic work discrimination and/or harassment and women firefighters’ (FFs) physical and mental health, substance abuse, and job efficacy, stress, and satisfaction. Methods. Snowball sampling was used to solicit participation from women career FFs. Participants completed an online survey regarding physical and mental health, health behavior, job efficacy/stress/satisfaction, and family well-being. Logistic regression examined the impact of work discrimination-harassment severity on dichotomous variables. Results. 1,773 had complete data on their experiences with work-related discrimination and harassment. Women reported experiencing verbal (37.5%) and written (12.9%) harassment, hazing (16.9%), sexual advances (37.4%), and assaults (5.1%) in the fire service. FFs in the highest tertile of work discrimination-harassment severity reported over 40% more poor health days in the last 30 days (OR=1.42; 95%CI=1.33-1.51; p<0.001). Women who experienced moderate and severe discrimination/harassment had negative mental health outcomes including higher prevalence of depressive symptoms, anxiety, and PTSD symptoms. Those who experienced high rates of discrimination and/or harassment also were more likely to report issues with alcohol consumption. Conclusion. The impact of discrimination and harassment, related negative physical and mental outcomes, low levels of job satisfaction, and negative impact of these experiences on family/home stress likely take a significant toll on women in the fire service. Findings confirm and extend previous work suggesting there is a need to improve the mental and physical health of women FFs. Future work should examine the prospective relationship between discrimination/harassment and poor health outcomes and potential policies/practices to reduce these negative behaviors.


Author(s):  
Meghan J. Price ◽  
Lucas P. Wachsmuth ◽  
Kortni A. Ferguson ◽  
Gregg A. Robbins-Welty ◽  
Paul A. Riordan ◽  
...  

Context: Healthcare workers often experience grief stemming from the loss of patients under their care. The impact of personal grief on healthcare workers’ wellbeing is less well described, particularly for trainees. To better characterize the prevalence and impact of personal grief on the mental and physical health of medical students, we conducted a survey of medical students at our institution. Methods: An electronic Qualtrics survey was distributed to all currently enrolled medical students at our institution. After an initial question screening for loss before or during medical school, our survey assessed (1) basic demographic data; (2) relationship to the deceased; (3) impact of the loss on trainee health; and (4) utilization of institutional supports for grief. Results: A total of 344 (68.8%) students responded to our survey. Two hundred and 25 (65.4%) students had experienced personal loss prior to or during medical school. 53.7% experienced more than 1 loss, with most of these losses (62.5%) occurring more than 2 years prior to the survey date. Up to 40% of respondents reported at least 1 psychologically distressing symptom that persisted beyond 1 year. Most students (93.8%) relied on family members for support; however, 23.2% of students indicated they would use institutional resources if available. Conclusion: Most medical students have experienced bereavement before or during medical school, which has had significant impact on their well-being. While medical students did not typically utilize institutionally based resources, many students expressed interest in such resources.


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