Education, Financial Stress, and Trajectory of Mental Health During the COVID-19 Pandemic

In this preregistered study, we examined educational disparities in the trajectory of mental health during the COVID-19 pandemic and whether such educational disparities would be mediated by financial stress associated with the pandemic. Data were drawn from the Love in the Time of COVID project ( N = 2,204; four waves collected between March and June 2020). Results suggested educational disparities in eudaimonic well-being, negative affect, and psychological distress and showed significant associations between lower education and worse mental-health outcomes at baseline. However, education did not amplify mental-health disparities over time and exhibited no associations with the rates of change in mental health. Financial stress mediated the associations between education and mental health at baseline, and there were no temporal variations in the mediation effect. These results highlight persistent educational disparities in mental health, and such educational disparities may be partially explained by financial stress associated with the COVID-19 pandemic.

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Education, Financial Stress, and Trajectory of Mental Health During the COVID-19 Pandemic

10.31234/osf.io/tvry4 ◽

2021 ◽

Author(s):

Yanping Jiang ◽

Samuele Zilioli ◽

Rhonda Nicole Balzarini ◽

Giulia Zoppolat ◽

Richard B. Slatcher

Keyword(s):

Mental Health ◽

Negative Affect ◽

Health Outcomes ◽

Financial Stress ◽

Well Being ◽

Socioeconomic Disparities ◽

Mental Health Outcomes ◽

Educational Disparities ◽

Early Stages ◽

Education Levels

Socioeconomic disparities in mental health have been reported during the COVID-19 pandemic. However, few studies have examined the mechanisms through which such disparities in mental health occurred. This pre-registered study aimed to examine socioeconomic disparities, as indexed by education levels, in the trajectory of mental health at the early stages of the COVID-19 pandemic and whether financial stress associated with the pandemic mediated socioeconomic disparities in mental health. Data were drawn from the Love in the Time of COVID project, of which we included four waves of data (N = 2,204) collected between March 27th and June 21st, 2020. Education was assessed at baseline, and mental health outcomes (i.e., eudaimonic well-being, positive affect, negative affect, depressive and anxious symptoms) and financial stress associated with the COVID-19 pandemic were assessed at each wave. Results indicated that there were educational disparities in eudaimonic well-being, negative affect, and depressive and anxiety symptoms at baseline, with those with lower education levels reporting poorer mental health. However, education did not amplify disparities in mental health outcomes over time, showing no associations with the rates of change in mental health outcomes. Financial stress mediated the associations between education and eudaimonic well-being, negative affect, and depressive and anxious symptoms at baseline, and there were no temporal variations in the mediation effects of financial stress. These results highlight persistent educational disparities in mental health at the early stages of the COVID-19 pandemic, and such educational disparities may be partially explained by financial stress associated with the COVID-19 pandemic.

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Mediation effect of anger rumination on the relationship between dimensions of anger and anger control with mental health

International journal of psychological research ◽

10.21500/20112084.732 ◽

2012 ◽

Vol 5 (2) ◽

pp. 8-17

Author(s):

Mohammad Ali Besharat ◽

Samane Pourbohlool

Keyword(s):

Mental Health ◽

Psychological Distress ◽

Well Being ◽

Mediation Effect ◽

Anger Control ◽

Psychological Well Being ◽

Anger Rumination ◽

State Anger ◽

Iranian Students ◽

The Relationship

The aim of this study was to examine mediation effect of anger rumination on the relationship between dimensions of anger and anger control including trait anger, state anger, anger in, anger out, anger-control in, and anger-control out with mental health in a sample of Iranian students. A total of 449 volunteer students (234 girls, 215 boys) were included in this study. All participants were asked to complete the Tehran Multidimensional Anger Scale (TMAS; Besharat, 2008), Anger Rumination Scale (ARS; Sukhodolsky, Golub, & Cromwell, 2001), and the Mental Health Inventory (MHI; Veit & Ware, 1983). Anger rumination mediated the relationship between dimensions of anger and anger control with mental health in opposite directions. Analysis of the data revealed that higher levels of anger was associated with lower levels of psychological well-being as well as higher levels of psychological distress. In contrast, higher levels of anger control were associated with higher levels of psychological well-being as well as lower levels of psychological distress. Mediation effect of anger rumination for the association of anger dimensions with mental health was full for psychological well-being and partial for psychological distress. Conversely, mediation effect of anger rumination for the association of anger control dimensions with mental health was partial for psychological well-being and full for psychological distress.

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A descriptive study of the prevalence of psychological distress and mental disorders in the Canadian population: comparison between low-income and non-low-income populations

Chronic Diseases and Injuries in Canada ◽

10.24095/hpcdp.30.3.03 ◽

2010 ◽

Vol 30 (3) ◽

pp. 148-149 ◽

Cited By ~ 2

Author(s):

J. Caron ◽

A. Liu

Keyword(s):

Mental Health ◽

Substance Abuse ◽

Psychological Distress ◽

Mental Disorders ◽

Low Income ◽

Well Being ◽

Descriptive Study ◽

Canadian Community Health Survey ◽

Vulnerable Groups ◽

High Psychological Distress

Objective This descriptive study compares rates of high psychological distress and mental disorders between low-income and non-low-income populations in Canada. Methods Data were collected through the Canadian Community Health Survey – Mental Health and Well-being (CCHS 1.2), which surveyed 36 984 Canadians aged 15 or over; 17.9% (n = 6620) was classified within the low-income population using the Low Income Measure. The K-10 was used to measure psychological distress and the CIDI for assessing mental disorders. Results One out of 5 Canadians reported high psychological distress, and 1 out of 10 reported at least one of the five mental disorders surveyed or substance abuse. Women, single, separated or divorced respondents, non-immigrants and Aboriginal Canadians were more likely to report suffering from psychological distress or from mental disorders and substance abuse. Rates of reported psychological distress and of mental disorders and substance abuse were much higher in low-income populations, and these differences were statistically consistent in most of the sociodemographic strata. Conclusion This study helps determine the vulnerable groups in mental health for which prevention and promotion programs could be designed.

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Parent Psychological Distress in the Neonatal Intensive Care Unit Within the Context of the Social Ecological Model: A Scoping Review

Journal of the American Psychiatric Nurses Association ◽

10.1177/1078390318765205 ◽

2018 ◽

Vol 24 (6) ◽

pp. 495-509 ◽

Cited By ~ 5

Author(s):

Kristy Loewenstein

Keyword(s):

Mental Health ◽

Intensive Care Unit ◽

Intensive Care ◽

Psychological Distress ◽

Neonatal Intensive Care Unit ◽

Scoping Review ◽

Neonatal Intensive Care ◽

Family Cohesion ◽

Ecological Model ◽

Well Being

BACKGROUND: Neonatal intensive care unit (NICU) parents are at risk for psychological distress and impaired mental health, and statistics related to parent psychological distress vary. OBJECTIVE: To determine the scope of literature regarding the mental health and psychosocial well-being of parents in the NICU. DESIGN: A scoping review within the Arksey and O’Malley framework and the SEM was undertaken to answer, “What factors contribute to parent’s mental health in the NICU?” A systematic review of the literature was performed using the PRISMA methodology. RESULTS: Common socioeconomic factors and infant and parent characteristics may place parents at a greater risk for developing distress. History of mental illness, family cohesion, birth trauma, altered parenting role, gestational age, birth weight, and severity of prematurity/illness emerged as themes. CONCLUSION: Further research is required to provide a standard for the screening and assessment of parents’ mental health and psychosocial well-being during a NICU hospitalization. The experiences of nonbirth parents in the NICU should be explored to examine the effects of the hospitalization on all types of parents.

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Study Protocol for Implementation of An Internet-based Acceptance and Commitment Therapy for Promoting Mental Health Among Migrant Live-in Caregivers in Canada (Preprint)

10.2196/preprints.31211 ◽

2021 ◽

Author(s):

Kenneth Po-Lun Fung ◽

Mandana Vahabi ◽

Masoomeh Moosapoor ◽

Abdolreza Akbarian ◽

Josephine Pui-Hing Wong

Keyword(s):

Mental Health ◽

Psychological Distress ◽

Focus Groups ◽

Acceptance And Commitment Therapy ◽

Psychological Intervention ◽

Self Care ◽

Well Being ◽

Virtual Space ◽

Commitment Therapy ◽

Acceptance And Commitment

BACKGROUND Psychological distress, isolation, feeling of powerlessness, and limited social support are realities faced by temporary migrant live–in caregivers in Canada. Furthermore, they experience multiple barriers in accessing mental health services due to their long work hours, limited knowledge about health resources, precarious employment, and immigration status. OBJECTIVE Women Empowerment - Caregiver Acceptance & Resilience E-Learning (WE2CARE) project is a pilot intervention research project that aims to promote mental well being and resiliency of migrant live-in caregivers. The objectives include exploring the effectiveness of this program in: (1) reducing psychological distress (depression, anxiety, and stress); (2) promoting committed actions of self-care; and (3) building mutual support social networks. Further, participants’ satisfaction with the intervention and their perceived barriers and facilitators to practicing the self-care strategies embedded in WE2CARE will be examined. METHODS Thirty-six live- in caregivers residing in Great Toronto Area (GTA) will be recruited and randomly assigned to intervention and waitlist control groups. The intervention group will receive a 6-week web-based psychosocial intervention that will be based on Acceptance and Commitment Therapy (ACT). Standardized self-reported surveys will be administered online pre-, post-, and 6-week post-intervention to assess mental distress (DASS 21), psychological flexibility (AAQ-2), mindfulness (CAMS-R) and Multi-System Model of Resilience (MSMR-I). Two focus groups will be held with a subset of participants to explore their feedback on the utility of the WE2CARE program. RESULTS WE2CARE was funded in January 2019 for a year. The protocol was approved by the research ethics boards of Ryerson University (REB 2019-036) in February 2019, and University of Toronto (RIS37623) in May 2019. Data collection started upon ethics approval and was completed by May 2020. A total of 29 caregivers completed the study and 20 participated in the focus groups. Data analyses are in progress and results will be published in 2021. CONCLUSIONS WE2CARE can be a promising approach in reducing stress, promoting resilience, and providing a virtual space for peer emotional support and collaborative learning among socially isolated and marginalized women. The results of this pilot study will inform the adaptation and utility of online delivery of ACT based psychological intervention in promoting mental health among disadvantaged and vulnerable populations. CLINICALTRIAL None

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Presence of a Secondary Caregiver Differentiates Primary Cancer Caregiver Well-being

10.21203/rs.3.rs-427046/v1 ◽

2021 ◽

Author(s):

Maria Thomson ◽

Maureen Wilson-Genderson ◽

Laura A Siminoff

Keyword(s):

Mental Health ◽

Physical Health ◽

Multilevel Models ◽

Case Series ◽

Primary Caregivers ◽

Well Being ◽

Physical And Mental Health ◽

Hematological Cancer ◽

Cancer Caregiver ◽

Over Time

Abstract Background Informal caregivers play a fundamental role in the care of hematological cancer patients, but less is known about how secondary caregivers are involved. We assessed the presence or absence of a secondary caregiver, the types of caregiving activities performed by primary and secondary caregivers and examined whether the presence of a secondary caregiver was associated with primary caregiver characteristics and wellbeing over time. Methods A case series of hematological cancer patient-caregiver dyads (n = 171) were recruited from oncology clinics in Virginia and Pennsylvania and followed for 2 years. Multi-level models were developed to examine the associations between presence of a secondary caregiver and the primary caregivers’ well-being. Results Most (64.9%) primary caregivers reported having secondary caregivers. Multilevel models showed primary caregivers without help had higher baseline mental and physical health, but experienced deteriorating physical health overtime, compared to supported primary caregivers. Supported primary caregivers reported improvements in mental health over time that was associated with improvements in physical health. Conclusions Primary caregivers in good physical and mental health at the beginning of their caregiving journey but who have the least assistance from others may be at greatest risk for detrimental physical health effects long term. Attention to the arrangement of caregiving roles (i.e., who provides what care) overtime is needed to ensure that caregivers remain healthy and well supported.

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Psychological Distress Among the U.S. General Population During the COVID-19 Pandemic

Frontiers in Psychiatry ◽

10.3389/fpsyt.2021.642918 ◽

2021 ◽

Vol 12 ◽

Author(s):

Christi J. Guerrini ◽

Sophie C. Schneider ◽

Andrew G. Guzick ◽

Gifty N. Amos Nwankwo ◽

Isabel Canfield ◽

...

Keyword(s):

Mental Health ◽

Health Care ◽

Psychological Distress ◽

Online Survey ◽

Well Being ◽

The United States ◽

Healthy Behaviors ◽

Factors Associated ◽

Clinically Significant ◽

Amazon's Mechanical Turk

The COVID-19 pandemic is taking a significant global toll on emotional well-being, but evidence of mental health impacts in the United States remains limited. In April 2020, we conducted an exploratory survey of U.S. residents to understand prevalence of and factors associated with psychological distress during the pandemic. Data collection was conducted using Qualtrics, an online survey platform, and U.S. adult respondents were recruited via Amazon's Mechanical Turk platform. Among 1,366 respondents, 42% (n = 571) reported clinically significant anxiety and 38% (n = 519) reported clinically significant depression. Factors associated with anxiety and depressive symptoms included Hispanic/Latino ethnicity; younger age; lower income; employment as or living with a health care worker-first responder; caregiver status; SARS-CoV-2 infection status; decreased frequency of engagement in healthy behaviors; and changed frequency of engagement in unhealthy behaviors. That some of these factors are associated with elevated distress during the pandemic is not yet widely appreciated and might be useful in informing management of mental health care resources.

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Life, lifestyle and location: examining the complexities of psychological distress in young adult Indigenous and non-Indigenous Australians

Journal of Developmental Origins of Health and Disease ◽

10.1017/s2040174417000162 ◽

2017 ◽

Vol 8 (5) ◽

pp. 541-549 ◽

Cited By ~ 6

Author(s):

B. Davison ◽

T. Nagel ◽

G. R. Singh

Keyword(s):

Mental Health ◽

Young Adults ◽

Psychological Distress ◽

Suicidal Ideation ◽

Emotional Health ◽

Well Being ◽

Indigenous Australians ◽

Physical And Mental Health ◽

Increased Risk ◽

Self Harm

Mental health is fundamental to an individual’s health and well-being. Mental health disorders affect a substantial portion of the Australian population, with the most vulnerable time in adolescence and young adulthood. Indigenous Australians fare worse than other Australians on almost every measure of physical and mental health. Cross-sectional data from young adults (21–27 years) participating in the Life Course Program, Northern Territory, Australia, is presented. Rates of psychological distress were high in remote and urban residing Indigenous and urban non-Indigenous young adults. This rate was more pronounced in young women, particularly in Indigenous remote and urban residing women. Young adults with high psychological distress also had lower levels of positive well-being, higher perceived stress levels, experienced a higher number of major life events and were at an increased risk of suicidal ideation and/or self-harm. This study supports the need for a continued focus on early screening and treatment at this vulnerable age. The significant association seen between psychological distress and other markers of emotional well-being, particularly risk of suicidal ideation and/or self-harm, highlights the need for a holistic approach to mental health assessment and treatment. A concerted focus on improving the environs of young adults by lowering levels of stress, improving access to adequate housing, educational and employment opportunity, will assist in improving the emotional health of young adults.

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Impact of COVID-19 on the mental health of healthcare workers in different regions of the world

BJPsych Open ◽

10.1192/bjo.2021.689 ◽

2021 ◽

Vol 7 (S1) ◽

pp. S258-S258

Author(s):

Mahfuja Islam ◽

Philip George ◽

Sindhu Sankaran ◽

Janet Leu Su Hui ◽

Tzun Kit

Keyword(s):

Mental Health ◽

Health Care ◽

Psychological Distress ◽

Healthcare Workers ◽

Well Being ◽

Subjective Assessment ◽

Survey Tool ◽

Frontline Workers ◽

The World ◽

The Impact

AimsThe global health system is facing a serious challenge after the recent outbreak of COVID-19 coronavirus infection which was first identified in Wuhan, China in November 2019 and declared as a pandemic in March 2020 by WHO. There is a wide consensus that this pandemic has negative psychosocial consequences as well as unforeseeable provision of mental health care services and just not on physical health alone. The aim of this research study is to determine the prevalence of psychological distress and to identify the sociodemographic variables with the main attributable factors associated with the psychological distress among healthcare workers and suggestions on how to reduce the impact on the mental health of healthcare workers during the COVID-19 pandemic in different regions of the world.MethodWe performed a cross-sectional study from September-November 2020. We used a self-administered survey tool which was distributed electronically to healthcare workers across the globe. The data were stored on an online database with password protected devices where survey responses were restricted to investigators exclusively.Data collected were: 1) Socio-demographic data (age, gender, marital status, ethnicity, religion, role in the healthcare, region of practice); 2) Psychological General Well-Being Index (PGWBI) questionnaire which contains 22 standardized items. This is a subjective assessment to score the degree of psychological well-being by focusing on 6 domains: depression; anxiety; positive-well-being; self-control; vitality and general health; 3) Subjective assessment from respondents of the main attributable factors causing psychological distress and suggested methods to help reduce the impact on mental health on health care workers.ResultMajority out of the 217 respondents were from a younger age group; females and married/domestic partnership, mainly from Western Pacific Region, South East Asian and the African Region. More than half the respondents were moderate-severely psychologically distressed and the three main attributable factors causing psychological distress were: fear of family/friends contracting COVID-19 followed by lack of PPE and discomfort caused by wearing PPE for long hours. Respondents suggested that the distress would be reduced if: more resources were provided in hospital; protocols and guidelines were implemented and counselling facilities with recreational activities were available to frontline workers.ConclusionThis study showed that the COVID-19 pandemic has affected the mental health of healthcare workers and more support or strategies need to come in place to protect frontline workers at the time of crises.

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Moderation role of proactive coping between psychological place attachment and its mental health consequences in sojourners

Journal of the Pakistan Medical Association ◽

10.47391/jpma.02-336 ◽

2021 ◽

Author(s):

Rida Muhammad Akbar ◽

Muhammad Naveed Riaz

Keyword(s):

Mental Health ◽

Psychological Distress ◽

Place Attachment ◽

Well Being ◽

Place Identity ◽

Self Report ◽

Proactive Coping ◽

Preventive Coping ◽

Mental Well Being ◽

The Relationship

Objective The study also examined the moderating impact of proactive coping strategies in the relationship of psychological place attachment and mental health related outcomes in sojourners. Methods The study was based upon self-report measures including Psychological Place Attachment Scale, Proactive Coping Inventory, Warwick Edinburg Mental Well-being Scale and Kasler Psychological Distress Scale. Total 300 sojourners participated in the study. Participants Academic sojourners are students who stay in a place for a limited period of time. Data of sojourners (N = 300) was collected from Sargodha using four self-report measures. Results Data analysis through PROCSS 3.2 revealed that Proactive coping, preventive coping and reflective coping were significantly moderated the relationship between affective and psychological distress. Proactive coping and reflective coping were significantly moderated the relationship between affective bonding and mental wells-being. Proactive coping preventive coping and avoidance coping significantly moderated the relationship home meaning and psychological distress. Proactive coping was moderated the relationship between home meaning and psychological distress. Proactive coping and reflective coping were moderated the relationship between place identity and psychological distress. Proactive coping was moderated the relationship between place identity and mental well-being. Instrumental support seeking was moderating the relationship between place dependence and psychological distress. Preventive coping and reflective coping were moderated the relationship between psychological place attachment and psychological distress. Reflective coping, strategic planning and preventive coping were significantly moderated the relationship between psychological place attachment and mental well-being. Continuous...

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