The psychological impact of the COVID-19 pandemic on adults with autism: a survey study across three countries

Abstract Background Previous studies have reported a negative psychological and mental health impact of the COVID-19 pandemic. This impact is likely to be stronger for people with autism as they are at heightened risk of mental health problems and because the pandemic directly affects social functioning and everyday routines. We therefore examined COVID-19 pandemic-related changes in mental health, the impact of the pandemic on their social life and routines, satisfaction with pandemic-related information and tips, and participants’ wishes for guidance. Methods We used a mixed-method approach, collecting quantitative and qualitative survey data from adults with and without autism across three European countries: Belgium, the Netherlands, and the UK (N = 1044). Results We found an increase in depression and anxiety symptoms in response to the pandemic for both the non-autism and the autism group, which was greater for adults with autism. Furthermore, adults with autism showed a greater increase in worries about their pets, work, getting medication and food, and their own safety/security. They felt more relieved from social stress, yet experienced the loss of social contact as difficult. Adults with autism also felt more stressed about the loss of routines. Pleasant changes noted by adults with autism were the increase in solidarity and reduced sensory and social overload. Adults with autism frequently reported problems with cancellation of guidance due to the pandemic and expressed their wish for (more) autism-specific information and advice. Limitations Our sample is likely to reflect some degree of selection bias, and longitudinal studies are needed to determine long-term effects. Conclusions Results highlight the psychological burden of the pandemic on adults with autism and shed light on how to support them during this COVID-19 pandemic, which is especially important now that the pandemic is likely to have a prolonged course. There is a need for accessible, affordable (continued) support from health services. Guidance may focus on the maintenance of a social network, and adjusting routines to the rapid ongoing changes. Finally, we may learn from the COVID-19 pandemic-related changes experienced as pleasant by adults with autism to build a more autism-friendly society post-pandemic.

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The psychological impact of the COVID-19 pandemic on adults with autism: A survey study across three countries

10.21203/rs.3.rs-111820/v2 ◽

2021 ◽

Author(s):

Danna Oomen ◽

Annabel Dineke Nijhof ◽

Jan Roelf Wiersema

Keyword(s):

Mental Health ◽

Social Life ◽

Social Stress ◽

Mental Health Problems ◽

Survey Study ◽

Specific Information ◽

Long Term Effects ◽

Adults With Autism ◽

Psychological Burden ◽

The Impact

Abstract Background: Previous studies have reported a negative psychological and mental health impact of the COVID-19 pandemic. This impact is likely to be stronger for people with autism as they are at heightened risk of mental health problems and because the pandemic directly affects social functioning and everyday routines. We therefore examined COVID-19 pandemic-related changes in mental health, the impact of the pandemic on their social life and routines, satisfaction with pandemic-related information and tips, and participants’ wishes for guidance. Methods: We used a mixed-method approach, collecting quantitative and qualitative survey data from adults with and without autism across three European countries: Belgium, the Netherlands, and the United Kingdom (N = 1044). Results: We found an increase in depression and anxiety symptoms in response to the pandemic for both the non-autism and the autism group, which was greater for adults with autism. Furthermore, adults with autism showed a greater increase in worries about their pets, work, getting medication and food, and their own safety/security. They felt more relieved from social stress, yet experienced the loss of social contact as difficult. Adults with autism also felt more stressed about the loss of routines. Pleasant changes noted by adults with autism were the increase in solidarity and reduced sensory and social overload. Adults with autism frequently reported problems with cancellation of guidance due to the pandemic and expressed their wish for (more) autism-specific information and advice. Limitations: Our sample is likely to reflect some degree of selection bias, and longitudinal studies are needed to determine long-term effects. Conclusions: Results highlight the psychological burden of the pandemic on adults with autism and shed light on how to support them during this COVID-19 pandemic, which is especially important now that the pandemic is likely to have a prolonged course. There is a need for accessible, affordable (continued) support from health services. Guidance may focus on the maintenance of a social network, and adjusting routines to the rapid ongoing changes. Finally, we may learn from the COVID-19 pandemic-related changes experienced as pleasant by adults with autism to build a more autism-friendly society post-pandemic.

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The Psychological Impact of the COVID-19 Pandemic on Adults With Autism: A Survey Study Across Three Countries

10.21203/rs.3.rs-111820/v1 ◽

2020 ◽

Author(s):

Danna Oomen ◽

Annabel Dineke Nijhof ◽

Jan Roelf Wiersema

Keyword(s):

Mental Health ◽

Social Life ◽

Social Stress ◽

Mental Health Problems ◽

Survey Study ◽

Specific Information ◽

Long Term Effects ◽

Adults With Autism ◽

Psychological Burden ◽

The Impact

Abstract BackgroundPrevious studies have reported a negative psychological and mental health impact of the COVID-19 pandemic. This impact is likely to be stronger for people with autism as they are at heightened risk of mental health problems and because the pandemic directly affects social functioning and everyday routines. We therefore examined COVID-19-related changes in mental health, the impact of the pandemic on their social life and routines, satisfaction with pandemic-related information and tips, and participants’ wishes for guidance. MethodsWe used a mixed-method approach, collecting quantitative and qualitative survey data from adults with and without autism across three European countries: Belgium, the Netherlands, and the United Kingdom (N = 1044). ResultsWe found an increase in depression and anxiety symptoms in response to the pandemic for both the non-autism and the autism group, which was greater for adults with autism. Furthermore, adults with autism showed a greater increase in worries about their pets, work, getting medication and food, and their own safety/security. They felt more relieved from social stress, yet experienced the loss of social contact as difficult. Adults with autism also felt more stressed about the loss of routines. Pleasant changes noted by adults with autism were the increase in solidarity and reduced sensory and social overload. Adults with autism frequently reported problems with cancellation of guidance due to the pandemic and expressed their wish for (more) autism-specific information and advice. LimitationsOur sample is likely to reflect some degree of selection bias, and longitudinal studies are needed to determine long-term effects. ConclusionsResults highlight the psychological burden of the pandemic on adults with autism and shed light on how to support them during this COVID-19 pandemic, which is especially important now that the pandemic is likely to have a prolonged course. There is a need for accessible, affordable (continued) support from health services. Guidance may focus on the maintenance of a social network, and adjusting routines to the rapid ongoing changes. Finally, we may learn from the COVID-19-related changes experienced as pleasant by adults with autism to build a more autism-friendly society post-pandemic.

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The impact of COVID-19 quarantine measures on the mental health of families

Journal of Social Work ◽

10.1177/14680173211011705 ◽

2021 ◽

pp. 146801732110117

Author(s):

Fakir Al Gharaibeh ◽

Laura Gibson

Keyword(s):

Mental Health ◽

Social Workers ◽

Digital Media ◽

Mental Health Problems ◽

Eating Habits ◽

Strong Shock ◽

Psychosocial Interventions ◽

Snowball Sampling ◽

Long Term Effects ◽

The Impact

Summary COVID-19 is shaping all aspects of life throughout the world. The unexpected number of people who have been infected with and died from coronavirus disease (COVID-19) is evidence that the pandemic has affected families and societies. The strong shock wave that has resulted in the international response has focused more on medical rather than psychosocial interventions. Little has been written or studied about the impact of COVID-19 on families. This article explores the impact of the COVID-19 quarantine on the mental health of families. We conducted 20 in-depth interviews with Jordanian families through snowball sampling. Findings The results show that 20 interviewees described varied and new experiences. Many of the families we interviewed displayed symptoms of mental health problems, including disrupted sleep patterns, changes in eating habits, excessive digital media use, anxiety, depression, excessive smoking, stomach aches, bedwetting among children, and persistent headaches. The study also demonstrated the psychological stress partners felt during the lockdown due to their worries about job security. They also communicated their hope that renewed family commitments might bring more stability to their relationships. During the lockdown, family members spent more time together, and it became harder to conceal any issues from each other. Applications The findings of this research demonstrate a critical need for social workers, and it is hoped that future legislation will include a role for social workers in various fields of crisis. Moreover, social workers should encourage families to ask for intervention to overcome the long-term effects that may result from COVID-19.

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Psychological correlates of COVID-19 pandemic in the Austrian population

BMC Public Health ◽

10.1186/s12889-020-09489-5 ◽

2020 ◽

Vol 20 (1) ◽

Cited By ~ 1

Author(s):

Claudia Traunmüller ◽

Rene Stefitz ◽

Kerstin Gaisbachgrabner ◽

Andreas Schwerdtfeger

Keyword(s):

Mental Health ◽

Protective Factors ◽

Psychological Impact ◽

Vulnerable Groups ◽

Specific Information ◽

Event Scale ◽

Psychological Burden ◽

Psychological Correlates ◽

Austrian Population ◽

The Impact

Abstract Background COVID-19 poses the greatest challenge for the entire world since the Second World War. Governments are forced to define strict measures to avoid the spreading of the virus, which may further impose psychological burden for the majority of the population. The aim of this study was to evaluate the psychological distress in Austria during the initial stage of the COVID-19 outbreak. Methods From 25 March to 3 April 2020, an anonymous online survey was conducted. Target group included all members of the Austrian population older than 16 years. The survey addressed the following areas (1) and sociodemographic data, (2) physical and mental health; (3) knowledge and concerns about COVID-19; (4) contact with infected people; (5) prevention efforts; (6) need for further information. The Impact of Event Scale-Revised (IES-R) and the Depression, Anxiety and Stress Scale (DASS-21) were used to assess mental health. Analyses were based on 4126 individuals (74% female, age: M = 38.68, SD = 13.36). Results 43.3% rated the psychological impact as moderate (5.6%) or severe (37.7%). 26.5% reported moderate (13.3%) to severe (13.2%) depression; 20.3% moderate (8.9%) to severe (11.4%) anxiety and 21.2% reported to suffer from moderate (10.5%) or severe stress (10.7%). Being female, higher age, lower levels of education, concern about family members, internet as main source of information, student or pupil status, poor self-rated health, and downplaying the seriousness of the problem were significantly associated with higher psychological burden. Protective factors were the possibility to work in home office, frequent (indirect) contact with family or friends, the availability of virus-specific information, confidence in the diagnosis capability, and physical activity during the crisis. Conclusion This study is among the first in Europe on the psychological correlates of the COVID-19 pandemic. 37.7% of the Austrian study population reported a severe psychological impact on the event and 1 in 10 is considered to suffer from severe depression, anxiety or stress. The present findings inform about the identification of protective factors, psychologically vulnerable groups and may guide the development of psychological interventions.

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The impact of childhood psychological maltreatment on mental health outcomes in adulthood: a protocol for a systematic review and meta-analysis

Systematic Reviews ◽

10.1186/s13643-021-01777-4 ◽

2021 ◽

Vol 10 (1) ◽

Author(s):

Zhuoni Xiao ◽

Mina Murat Baldwin ◽

Franziska Meinck ◽

Ingrid Obsuth ◽

Aja Louise Murray

Keyword(s):

Mental Health ◽

Systematic Review ◽

Emotional Abuse ◽

Mental Health Problems ◽

Meta Analysis ◽

Psychological Maltreatment ◽

Future Research ◽

Long Term Effects ◽

The Impact

Abstract Background Research suggests that childhood psychological maltreatment (i.e., emotional abuse and emotional neglect) is associated with mental health problems that persist into adulthood, for example anxiety, depression, post-traumatic stress disorder (PTSD), suicidal ideation, and aggression; however, a systematic review and meta-analysis of the existing literature would help clarify the magnitude and moderators of these associations, and the extent to which they may be affected by publication bias, as well as the methodological strengths and weakness of studies in this area. Method The reporting of this protocol follows the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols (PRISMA-P) Statement. Searches will be carried out via several databases, including Web of Science, Medline, PubMed, PsycINFO, Applied Social Science Index and Abstract, ERIC and EMBASE. Empirical peer-reviewed research articles that fit pre-specified eligibility criteria will be included in the review. Studies will be eligible if they include participants age 18 or over at time of mental health assessment, include information on childhood psychological maltreatment (emotional abuse and/or neglect) perpetrated by a primary caregiver or adult in the same household, and provide quantitative information on the association between these factors. Studies using prospective and retrospective designs and written in either English or Chinese will be eligible. Two independent reviewers will screen and assess studies for inclusion in the review as well as extract the data, with consensus reached through discussion in cases of discrepancy. A third reviewer will be consulted to resolve any discrepancies that remain. The relevant Newcastle–Ottawa scales will be used for assessing the quality of studies. If a sufficient number of comparable studies are retrieved, a meta-analysis will be conducted using a random effects model. Study-level moderators (i.e., year of publication, quality of the study and study geographical location) will be examined in the meta-analyses. Discussion This systematic review will provide an understanding of the long-term effects of childhood psychological maltreatment on adult mental health, which adds to previous reviews focusing primarily on the effects of physical and sexual abuse. The results of the review will help inform clinical practice in approaches to treating those with a history of psychological maltreatment in childhood. The gaps and weaknesses in the evidence identified will also inform recommendations for future research.

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Psychological correlates of COVID-19 pandemic in the Austrian population

10.21203/rs.3.rs-23337/v2 ◽

2020 ◽

Author(s):

Claudia Traunmüller ◽

Rene Stefitz ◽

Kerstin Gaisbachgrabner ◽

Andreas Schwerdtfeger

Keyword(s):

Mental Health ◽

Protective Factors ◽

Psychological Impact ◽

Vulnerable Groups ◽

Specific Information ◽

Event Scale ◽

Psychological Burden ◽

Psychological Correlates ◽

Austrian Population ◽

The Impact

Abstract Background: COVID-19 poses the greatest challenge for the entire world since the Second World War. Governments are forced to define strict measures to avoid the spreading of the virus, which may further impose psychological burden for the majority of the population. The aim of this study was to evaluate the psychological distress in Austria during the initial stage of the COVID-19 outbreak. Methods: From 25 March to 3 April 2020, an anonymous online survey was conducted. Target group included all members of the Austrian population older than 15 years. The survey addressed the following areas (1) and sociodemographic data, (2) physical and mental health; (3) knowledge and concerns about COVID-19; (4) contact with infected people; (5) prevention efforts; (6) need for further information. The Impact of Event Scale-Revised (IES-R) and the Depression, Anxiety and Stress Scale (DASS-21) were used to assess mental health. Analyses were based on 4,126 individuals (74% female, age: M = 38.68, SD = 13.36). Results: 43.3% rated the psychological impact as moderate (5.6%) or severe (37.7%). 26.5% reported moderate (13.3%) to severe (13.2%) depression; 20.3% moderate (8.9%) to severe (11.4%) anxiety and 21.2% reported to suffer from moderate (10.5%) or severe stress (10.7%). Being female, higher age, lower levels of education, concern about family members, internet as main source of information, student or pupil status, poor self-rated health, and downplaying the seriousness of the problem were signiﬁcantly associated with higher psychological burden. Protective factors were the possibility to work in home office, frequent (indirect) contact with family or friends, the availability of virus-specific information, confidence in the diagnosis capability, and physical activity during the crisis.Conclusion: This study is among the first in Europe on the psychological correlates of the COVID-19 pandemic. 37.7% of the Austrian study population reported a severe psychological impact on the event and 1 in 10 is considered to suffer from severe depression, anxiety or stress. The present findings inform about the identification of protective factors, psychologically vulnerable groups and may guide the development of psychological interventions.

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The Impact of Social Support on Students’ Behavior in the Context of Iraqi Medical Education

Open Access Macedonian Journal of Medical Sciences ◽

10.3889/oamjms.2021.7688 ◽

2021 ◽

Vol 9 (E) ◽

pp. 1553-1559

Author(s):

I. D. Al-Hasani ◽

H. S. Salih ◽

A. T. Abdul Wahid ◽

Mohammed Jabarah

Keyword(s):

Mental Health ◽

Social Support ◽

Medical Students ◽

Social Life ◽

Online Survey ◽

Mental Health Problems ◽

Well Being ◽

Depression And Anxiety ◽

Cross Sectional ◽

The Impact

BACKGROUND: Mental health problems are reflected and linked to human behavior in many aspects. Medical students are susceptible to a wide variety of events that compromise their mental well-being, social life as well as their academic achievements. AIM: This study aimed to find the impact of social support on medical students’ behavior in Iraq via assessing their depression, anxiety, and stress status. METHODS: A cross-sectional online survey-based study targeted all medical students in Iraq. The employed questionnaires covered mental health status of participants by evaluating their perceptions of depression, anxiety, and stress using. Data were analyzed using the Statistical Analysis System. RESULTS: The study revealed a significant influence of social support on students’ perceptions of depression and anxiety, but not of their perception of stress. CONCLUSION: Lending social support to medical student is crucial to improve their depression and anxiety with all the positive results that the support brings to their behavior and social life. However, they need more than the social support to keep them safe from academic and daily life stressors.

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Psychological correlates of COVID-19 pandemic in the Austrian population

10.21203/rs.3.rs-23337/v1 ◽

2020 ◽

Cited By ~ 1

Author(s):

Claudia Traunmüller ◽

Rene Stefitz ◽

Kerstin Gaisbachgrabner ◽

Andreas Schwerdtfeger

Keyword(s):

Mental Health ◽

Protective Factors ◽

Psychological Impact ◽

Vulnerable Groups ◽

Specific Information ◽

Event Scale ◽

Psychological Burden ◽

Psychological Correlates ◽

Austrian Population ◽

The Impact

Abstract Background: COVID-19 poses the greatest challenge for the entire world since the Second World War. Governments are forced to define strict measures to avoid the spreading of the virus, which may further impose psychological burden for the majority of the population. The aim of this study was to evaluate the psychological distress in Austria during the initial stage of the COVID-19 outbreak. Methods: From 25 March to 3 April 2020, an anonymous online survey was conducted. Target group included all members of the Austrian population older than 15 years. The survey addressed the following areas (1) and sociodemographic data, (2) physical and mental health; (3) knowledge and concerns about COVID-19; (4) contact with infected people; (5) prevention efforts; (6) need for further information. The Impact of Event Scale-Revised (IES-R) and the Depression, Anxiety and Stress Scale (DASS-21) were used to assess mental health. Analyses were based on 4,126 individuals (74% female, age: M = 38.68, SD = 13.36). Results: 43.3% rated the psychological impact as moderate (5.6%) or severe (37.7%). 26.5% reported moderate (13.3%) to severe (13.2%) depression; 20.3% moderate (8.9%) to severe (11.4%) anxiety and 21.2% reported to suffer from moderate (10.5%) or severe stress (10.7%). Being female, higher age, lower levels of education, concern about family members, internet as main source of information, student or pupil status, poor self-rated health, and the attitude that “there is too much unnecessary worry” were signiﬁcantly associated with higher psychological burden. Protective factors were the possibility to work in home office, frequent (indirect) contact with family or friends, the availability of virus-specific information, confidence in the diagnosis capability, and physical activity during the crisis.Conclusion: This study is among the first in Europe on the psychological correlates of the COVID-19 pandemic. 37.7% of the Austrian study population reported a severe psychological impact on the event and 1 in 10 is considered to suffer from severe depression, anxiety or stress. The present findings inform about the identification of protective factors, psychologically vulnerable groups and may guide the development of psychological interventions.

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The impact of hospitalisation on discrimination experiences

European Psychiatry ◽

10.1016/s0924-9338(11)72287-8 ◽

2011 ◽

Vol 26 (S2) ◽

pp. 580-580

Author(s):

I. Sibitz ◽

R. Lakeman ◽

M. Parkinson ◽

J. Walsh ◽

P. Mc Gowan ◽

...

Keyword(s):

Mental Health ◽

Mental Health Problem ◽

Health Problem ◽

Social Life ◽

Mental Health Problems ◽

Health Problems ◽

Health Staff ◽

Welfare Benefits ◽

History Of ◽

The Impact

BackgroundThe aim of the study was to assess the experiences of discrimination as reported by people with mental health problems and to explore the impact of hospitalisation.Methods306 people with mental health problems provided sociodemographic data and data on discrimination using the discrimination and stigma scale version 12 (DISC-12) with the domains negative experienced discrimination, anticipated discrimination, overcoming stigma and discrimination, and positive experienced discrimination. Logistic regression analysis was used to test the impact of hospitalisation on discrimination, controlled for age, gender, education, employment, diagnosis and having been prescribed medication.ResultsHospitalisation had a major impact on negative discrimination: People were more likely to be treated unfairly in making or keeping friends, in marriage or divorce, by people in their neighbourhood, in social life, by mental health staff and in terms of privacy, if they had been hospitalised. They were also more likely to be avoided or shunned by people who knew about the mental health problem. People with a history of hospitalisation also reported more anticipated discrimination: They had stopped themselves more often from having a close personal relationship and concealed their mental health problem from others more often than those without a history of hospitalisation. However, people who had been hospitalised also experienced more positive discrimination in terms of being treated more positively in getting welfare benefits or disability pensions and in housing.ConclusionFindings suggest that treatment in hospital contributed to a higher extent to experienced discrimination than treatment in the community.

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Psychological correlates of COVID-19 pandemic in the Austrian population

10.21203/rs.3.rs-23337/v3 ◽

2020 ◽

Author(s):

Claudia Traunmüller ◽

Rene Stefitz ◽

Kerstin Gaisbachgrabner ◽

Andreas Schwerdtfeger

Keyword(s):

Mental Health ◽

Protective Factors ◽

Psychological Impact ◽

Vulnerable Groups ◽

Specific Information ◽

Event Scale ◽

Psychological Burden ◽

Psychological Correlates ◽

Austrian Population ◽

The Impact

Abstract Background: COVID-19 poses the greatest challenge for the entire world since the Second World War. Governments are forced to define strict measures to avoid the spreading of the virus, which may further impose psychological burden for the majority of the population. The aim of this study was to evaluate the psychological distress in Austria during the initial stage of the COVID-19 outbreak. Methods: From 25 March to 3 April 2020, an anonymous online survey was conducted. Target group included all members of the Austrian population older than 16 years. The survey addressed the following areas (1) and sociodemographic data, (2) physical and mental health; (3) knowledge and concerns about COVID-19; (4) contact with infected people; (5) prevention efforts; (6) need for further information. The Impact of Event Scale-Revised (IES-R) and the Depression, Anxiety and Stress Scale (DASS-21) were used to assess mental health. Analyses were based on 4,126 individuals (74% female, age: M = 38.68, SD = 13.36).Results: 43.3% rated the psychological impact as moderate (5.6%) or severe (37.7%). 26.5% reported moderate (13.3%) to severe (13.2%) depression; 20.3% moderate (8.9%) to severe (11.4%) anxiety and 21.2% reported to suffer from moderate (10.5%) or severe stress (10.7%). Being female, higher age, lower levels of education, concern about family members, internet as main source of information, student or pupil status, poor self-rated health, and downplaying the seriousness of the problem were signiﬁcantly associated with higher psychological burden. Protective factors were the possibility to work in home office, frequent (indirect) contact with family or friends, the availability of virus-specific information, confidence in the diagnosis capability, and physical activity during the crisis.Conclusion: This study is among the first in Europe on the psychological correlates of the COVID-19 pandemic. 37.7% of the Austrian study population reported a severe psychological impact on the event and 1 in 10 is considered to suffer from severe depression, anxiety or stress. The present findings inform about the identification of protective factors, psychologically vulnerable groups and may guide the development of psychological interventions.

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