scholarly journals The refugee post-migration stress scale (RPMS) – development and validation among refugees from Syria recently resettled in Sweden

2020 ◽  
Vol 14 (1) ◽  
Author(s):  
Andreas Malm ◽  
Petter Tinghög ◽  
Jurgita Narusyte ◽  
Fredrik Saboonchi

Abstract Background Despite the growing recognition of the impact of post-resettlement factors on the mental health of refugees, a clear definition of the concept of post-migration stress, as well as an updated, valid instrument for assessing the construct, are still lacking. The aim of the current study was to develop and validate the Refugee Post-Migration Stress Scale (RPMS), a concise, multi-dimensional instrument for assessing post-migration stress among refugees. Results Based on a review of previous research and observations from a refugee trauma clinic, a preliminary 24-item instrument was developed, covering seven hypothesized domains of post-migration stress: perceived discrimination, lack of host country specific competences, material and economic strain, loss of home country, family and home country concerns, social strain, and family conflicts. In the context of a population-based survey of mental health among refugees from Syria recently resettled in Sweden (n = 1215), the factorial structure of the RPMS was investigated. Confirmatory Factor Analysis revealed slightly insufficient fit for the initial theorized multi-domain model. Exploratory Factor Analysis in four iterations resulted in the omission of three items and an adequate fit of a 7-factor model, corresponding to the seven hypothesized domains of post-migration stress. To assess concurrent validity, correlational analyses with measures of anxiety, depression, post-traumatic stress disorder (PTSD), and mental wellbeing were carried out. All domains of post-migration stress showed significant correlations with anxiety, depression, and PTSD scores, and significant negative correlations with mental wellbeing scores. Conclusions The newly developed RPMS appears to be a valid instrument for assessing refugee post-migration stress. Our findings that post-migration stress primarily relating to social and economic factors seems to be associated with mental ill health among refugees is in line with previous research.

2021 ◽  
Vol 42 (4) ◽  
pp. e107-e115
Author(s):  
Sengul Beyaz ◽  
Semra Demir ◽  
Nida Oztop ◽  
Pelin Karadag ◽  
Raif Coskun ◽  
...  

Background: The impact of coronavirus disease 2019 (COVID-19) related mental health status on chronic spontaneous urticaria (CSU) has not been addressed before. Objective: The aim of this study was to evaluate the depression, anxiety and stress levels, and the fear of COVID-19 in patients with mild-to-moderate CSU and to determine their impact on urticaria activity during the pandemic. Methods: A total of 509 patients with mild-to-moderate CSU were prospectively evaluated with validated scales, the Depression Anxiety Stress Scale 21 (DASS-21) and the Fear of COVID-19 Scale (FCV-19S) during the lockdown period (LP) and the return to normal period (RTNP). CSU activity was determined with the urticaria activity score summed over 7 days (UAS7) and medication scores (MS). UAS7 and MS before the pandemic were retrospectively collected from medical records. Results: The median UAS7 and MS were both significantly higher in the LP than in the median of related scores during the prepandemic period (p < 0.0001) and the RTNP (p < 0.0001). The mean FCV-19S and DASS-21 scores were both significantly higher in the LP than in the RTNP (p < 0.0001). The FCV-19S and the DASS-21 anxiety and stress subscales were significantly higher in women. The UAS7s were positively correlated with the FCV-19S and depression, anxiety, and stress subscale scores. Conclusion: Fear of COVID-19, anxiety, depression, and stress during the COVID-19 pandemic, especially when strict isolation measures are taken, have a significant impact on mental health and urticaria activity in patients with mild-to-moderate CSU, even though they are not infected. Psychological support for patients with CSU seems to be important to control disease activity during the pandemic.


2020 ◽  
Author(s):  
Alanna McCrory

UNSTRUCTURED Users of highly visual social media (HVSM), such as Snapchat and Instagram, share their messages through images, rather than relying on words. A significant proportion of people that use these platforms are adolescents. Previous research reveals mixed evidence regarding the impact of online social technologies on this age group’s mental wellbeing, but it is uncertain whether the psychological effects of visual content alone differ from text-driven social media. This scoping review maps existing literature that has published evidence about highly visual social media, specifically its psychological impact on young people. Nine electronic databases and grey literature from 2010 until March 2019 were reviewed for articles describing any aspect of visual social media, young people and their mental health. The screening process retrieved 239 articles. With the application of eligibility criteria, this figure was reduced to 25 articles for analysis. Results indicate a paucity of data that exclusively examines HVSM. The predominance of literature relies on quantitative methods to achieve its objectives. Many findings are inconsistent and lack the richness that qualitative data may provide to explore the reasons for theses mixed findings.


2021 ◽  
pp. 089198872199681
Author(s):  
Kerry Hanna ◽  
Clarissa Giebel ◽  
Hilary Tetlow ◽  
Kym Ward ◽  
Justine Shenton ◽  
...  

Background: To date, there appears to be no evidence on the longer-term impacts caused by COVID-19 and its related public health restrictions on some of the most vulnerable in our societies. The aim of this research was to explore the change in impact of COVID-19 public health measures on the mental wellbeing of people living with dementia (PLWD) and unpaid carers. Method: Semi-structured, follow-up telephone interviews were conducted with PLWD and unpaid carers between June and July 2020. Participants were asked about their experiences of accessing social support services during the pandemic, and the impact of restrictions on their daily lives. Results: 20 interviews were conducted and thematically analyzed, which produced 3 primary themes concerning emotional responses and impact to mental health and wellbeing during the course of the pandemic: 1) Impact on mental health during lockdown, 2) Changes to mental health following easing of public health, and 3) The long-term effect of public health measures. Conclusions: The findings from this research shed light on the longer-term psychological impacts of the UK Government’s public health measures on PLWD and their carers. The loss of social support services was key in impacting this cohort mentally and emotionally, displaying a need for better psychological support, for both carers and PLWD.


Author(s):  
Fang Wang ◽  
Haitao Zheng

The causal effect of public pensions on the mental wellbeing of the elderly in lower and middle-income countries deserves further investigation. This paper first constructed a theoretical framework for the impact of New Rural Society Pension Insurance pensions in China on the mental wellbeing of the rural elderly, and described potential channels through which pension income may affect mental wellbeing. We then used the fixed effect model and the instrument variable approach to estimate the casual effects of pension income on the mental wellbeing of the rural elderly. The results reveal that pension income improves mental wellbeing by relieving depression of the rural elderly; however, the beneficial effects of pension income are very limited. Pension income has no beneficial effects on the mental health of the rural elderly in the east region, whereas it slightly relieves depression of those in the middle and west regions. We also found that pension income produces small improvements in the mental health of older females, elderly persons living independently, and those with relatively poor economic conditions.


2021 ◽  
Vol 7 (1) ◽  
pp. 44
Author(s):  
Janet Green ◽  
Joanne Vallance ◽  
Rebekah Choong ◽  
Georgina McBride ◽  
Jeyanthi Arockiam ◽  
...  

The COVID-19 pandemic has brought about many challenges and alterations to long-standing procedures within rehabilitation facilities. These updates of the processes undertaken by staff in such settings have been radical and ongoing. COVID-19 impact on the healthcare system should never be underestimated nor under appreciated. The impact that this pandemic has had on rehabilitation care is unique. This has been the catalyst to identifying significant challenges and subsequent changes within rehabilitation and mental health practices. Social measures that have been implemented in the community have had exaggerated and magnified effects both on the physical and mental wellbeing of rehabilitation and mental health patients. Over the course of these adaptations and implementations, impacts on communication, mental health, workload and care efficiencies were identified and explored. This paper is unique because different disciplines have shared their experiences of the impacts of the COVID-19 pandemic and how they provide rehabilitation. The paper will focus on the communication challenges using masks, not being able to engage families and carers, restriction of group therapies, social isolation of patients and healthcare workers while adhering to guidelines set by NSW Health (Sydney, Australia).


2021 ◽  
Vol 8 (19) ◽  
pp. 1432-1439
Author(s):  
Vishwak Reddy Vatte ◽  
Praveen Khairkar ◽  
Srinivas Kandrakonda ◽  
Tabitha Jezreel ◽  
Satya Revanth Karri ◽  
...  

BACKGROUND In COVID-19 pandemic, nation-wide complete lockdown was enforced for about 10 weeks which was an unprecedented experience for all and potentially influenced mental wellbeing partly through infodemic mismanagements. This study intended to analyse the impact of media and time management pattern on mental wellbeing among general population during COVID-19 lockdown in India. METHODS An online study questionnaire was circulated among general population between 1 st April and 12th May 2020 using social networking site (s). The questionnaire included socio-demographic details, source of information and knowledge on COVID-19, impact of time spent on media, smart phone, productive and relaxation activities, general views on lockdown experience and further mental health status was screened using standardized DASS - 21 Scale. Appropriate descriptive and inferential statistics were done using SPSS statistic 26.0. RESULTS A total of 891 people responded from 11 states, mostly (89 %) from South India, and 27.5 % were having mental health problems on DASS - 21 scale. Most of the participants opined that COVID-19 information on traditional (53 %) and social media (85 %) were not completely authentic and perhaps amplifying perceptual responses. Excess time spent on media (46 %) and smart phone over exposure (61 %) had significant mental health issues and on contrary individuals who managed their time well, indulging in productive and relaxation activities were found to be psychologically stable (P < 0.05). CONCLUSIONS This study highlights the impact of media and time management pattern during lockdown emphasizing both positive and negative predictors of mental health. There is clearly a need for media regulation and working in collaboration with authorities for better mental wellbeing of the society in ongoing fight with COVID19. KEYWORDS COVID-19, Lockdown, Media, Smartphone, Time Management Pattern


Author(s):  
Jeetika Duggal ◽  
Manu Bhai Gaur

The global pandemic of Coronavirus (COVID-19), also termed as health emergency affecting nearly 210 countries and territories has led to negative emotions of fear and agony in the general population. The healthcare regulators and the governments have imposed emergencies and lockdowns in their countries which has led to an adverse effect on the mental health of general public ultimately leading to a rise in anxiety, depression, and associated mental illness. The fear and rising COVID-19 crisis is putting extreme limitations on our finite resources. This report aims to improve status of mental health altered as a result of pandemic, emphasizing to help the general public, mitigate the negative emotions to improve the general wellbeing in this detached period of isolation. With no standard treatment or vaccine yet, the goal is primarily symptomatic relief for those affected and preventive for those at risk. Most countries have curtailed the spread of COVID-19 through measures such as lockdowns, social distancing and voluntary self-isolation. Although necessary, such measures and the disease itself may have an adverse impact on mental health. In view of research from previous pandemic crisis, it is known that such situations are likely to increase stress levels and have negative psychiatric effects. The impact is likely to be felt by the general public, sufferers of COVID-19, their families and friends, persons with pre-existing mental health conditions and healthcare workers. COVID pandemic related psychological distress in the general public, including symptoms of anxiety and depression, is associated with alterations in immune function, including an elevated risk of viral respiratory tract infection.


2020 ◽  
Author(s):  
Heidi E. Jones ◽  
Meredith Manze ◽  
Victoria Ngo ◽  
Patricia Lamberson ◽  
Nicholas Freudenberg

AbstractUnderstanding the effect of the coronavirus disease 2019 (COVID-19) pandemic on students’ health and financial stability is important to establish effective interventions to mitigate these effects, which may have long-term consequences on their health and wellbeing. Public universities in urban centers represent a substantial proportion of college students in the United States. We implemented a cross-sectional population-based online survey of 2,282 students in a large, public university in New York City in April 2020. We created weights to account for non-response and used Poisson regression with robust standard errors to estimate adjusted prevalence ratios (aPR) for factors associated with mental health outcomes. Students experienced high rates of anxiety/depression and financial instability due to the pandemic. Half of the students reported anxiety/depression (54.5%) and an increased need for mental health services (49.0%) as a result of the COVID-19 pandemic. The majority (81.1%) reported loss of household income, and half (49.8%) reported worries about losing housing. High levels of food (aPR=1.4, 95% CI 1.2, 1.6) and housing (aPR=1.3, 95% CI 1.2, 1.4) insecurity were the strongest predictors of anxiety/depression. Household and personal experiences with possible COVID-19 symptoms were also associated with anxiety/depression or the need for increased mental health services. Addressing student needs at public urban universities requires an integrated holistic approach that targets urgent mental health and economic needs related to the impact of COVID-19. Students who become infected need mental health services as well as health monitoring.


2021 ◽  
Vol 12 ◽  
Author(s):  
Geovan Menezes de Sousa ◽  
Vagner Deuel de Oliveira Tavares ◽  
Maria Lara Porpino de Meiroz Grilo ◽  
Monique Leite Galvão Coelho ◽  
Geissy Lainny de Lima-Araújo ◽  
...  

Background: Mental health burden has been massively reported during the COVID-19 pandemic period. Aiming to summarise these data, we present a meta-review of meta-analyses that evaluated the impact of COVID-19 pandemic on anxiety, depressive and stress symptoms, psychological distress, post-traumatic stress disorder/symptoms (PTSD), and sleep disturbance, reporting its prevalence on general public (GP) and health care workers (HCW).Methods: A search was performed in the PubMed, EMBASE, and the Web of Science. Sleep disturbances, psychological distress, stress, and burnout were grouped as “Psychophysiological stress,” and anxiety, depression, and PTSD were grouped as “Psychopathology.” A random-effects model, calculating the pooled prevalence together with 95% confidence interval was performed for each domain. Subgroup analyses were performed for each population type (GP and HCW) and for each mental health outcome. For anxiety and depression, subgroup analysis for population type was performed. Heterogeneity is reported as I2. Publication bias was assessed through visual inspection of the funnel plot, and further tested by Egger's test and trim and fill analyses.Results: A total of 18 meta-analyses were included. The prevalence of psychophysiological stress was 31.99% (CI: 26.88–37.58, I2 = 99.9%). HCW showed a higher prevalence (37.74%, CI: 33.26–42.45, I2 = 99.7%) than the GP (20.67%, 15.07–27.66, I2 = 99.9%). The overall prevalence of insomnia, psychological distress, and stress were, respectively, 32.34% (CI: 25.65–39.84), 28.25% (CI: 18.12–41.20), and 36% (CI: 29.31–43.54). Psychopathology was present at 26.45% (CI: 24.22–28.79, I2 = 99.9%) of the sample, with similar estimates for population (HCW 26.14%, CI: 23.37–29.12, I2 = 99.9%; GP: 26.99%, CI: 23.41–30.9, I2 = 99.9%). The prevalence of anxiety, depression, and PTSD was 27.77% (CI: 24.47–31.32), 26.93% (CI: 23.92–30.17), and 20% (CI: 15.54–24.37), respectively. Similar proportions between populations were found for anxiety (HCW = 27.5%, CI: 23.78–31.55; GP = 28.33%, CI: 22.1–35.5) and depression (HCW = 27.05%, CI: 23.14–31.36; GP = 26.7%, CI: 22.32–31.59). Asymmetry in the funnel plot was found, and a slight increase in the estimate of overall psychopathology (29.08%, CI: 26.42–31.89) was found after the trim and fill analysis.Conclusions: The prevalence of mental health problems ranged from 20 to 36%. HCW presented a higher prevalence of psychophysiological stress than the general population.Systematic Review Registration:https://www.crd.york.ac.uk/PROSPERO/display_record.php?RecordID=252221, identifier: CRD42021252221.


Author(s):  
Allison Dunne ◽  
Steve Haake ◽  
Helen Quirk ◽  
Alice Bullas

Participation in regular physical activity is a well-established strategy to support good mental wellbeing in adults with, and without, mental health conditions. The physical activity initiative parkrun is a free, weekly, timed, running and walking event which is attended by people from the local community of all abilities. The purpose of this study was to investigate the mental wellbeing of UK parkrun participants along with their motives for taking part and the impact of participation. Mental health conditions were self-reported in 2.5% of 60,000 respondents to an online survey of parkrunners, with the most prevalent being depression and anxiety. Those with mental health conditions were more motivated than those without to first participate in parkrun to manage their health conditions and improve their mental health. Those with mental health conditions were equally motivated to improve their physical health when compared to those without, and reported similar levels of improvement. Mental wellbeing scores for those with mental health conditions were close to the normal range, suggesting that engagement in parkrun may have had a role in limiting the effect of their illness. Community initiatives could replicate parkrun’s model, and use the potential for both mental and physical health improvement, as well as health condition management, as a motivation for participation.


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