Post-traumatic growth during the COVID-19 pandemic in carers of children in Portugal and the UK: cross-sectional online survey

Background Although the negative effects of the COVID-19 pandemic on mental health have attracted interest, little attention has focused on its positive effects and possible post-traumatic growth. Aims To assess anxiety, well-being and post-traumatic growth in carers of children aged 6–16 years in Portugal and the UK. Method A cross-sectional online survey of volunteers conducted at the peak of the first wave of COVID-19 during lockdown (1 May to 27 June 2020). Results A total of 385 caregivers (Portuguese, n = 185; UK, n = 200), predominantly mothers (n = 341, 88.6%), completed the survey. The majority were working exclusively from home (n = 271, 70.4%), almost half reported a reduction in income (n = 174, 45.2%), most children were home taught (n = 358, 93%), and 75 (19.5%) identified a family member with suspected or confirmed COVID-19 infection. In total, 341 caregivers (88.6%) identified positives arising from COVID-19, most commonly related to the post-traumatic growth domains of improved relationships, a greater appreciation of life, discovering and embracing new possibilities, and positive spiritual change. A comparison of those who did (n = 341) and did not (n = 34) report any positives found a significant difference in well-being scores (t373 = 2.24, P = 0.025) but not in anxiety scores (t373 = 0.75, P = 0.45). Conclusions Despite experiencing considerable adversity, examples of post-traumatic growth during the lockdown were common. Although the voluntary online nature of our survey is a limitation, our findings suggest that further research exploring post-traumatic growth following pandemics is warranted.

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Doctors’ perception of support and the processes involved in complaints investigations and how these relate to welfare and defensive practice: a cross-sectional survey of the UK physicians

BMJ Open ◽

10.1136/bmjopen-2017-017856 ◽

2017 ◽

Vol 7 (11) ◽

pp. e017856 ◽

Cited By ~ 7

Author(s):

Tom Bourne ◽

Bavo De Cock ◽

Laure Wynants ◽

Mike Peters ◽

Chantal Van Audenhove ◽

...

Keyword(s):

Online Survey ◽

Well Being ◽

Adverse Outcomes ◽

Perceived Support ◽

Survey Study ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Final Sample ◽

Perception Of Support ◽

The Uk

ObjectiveHow adverse outcomes and complaints are managed may significantly impact on physician well-being and practice. We aimed to investigate how depression, anxiety and defensive medical practice are associated with doctors actual and perceived support, behaviour of colleagues and process issues regarding how complaints investigations are carried out.DesignA survey study. Respondents were classified into three groups: no complaint, recent/current complaint (within 6 months) or past complaint. Each group completed specific surveys.SettingBritish Medical Association (BMA) members were invited to complete an online survey.Participants95 636 members of the BMA were asked to participate. 7926 (8.3%) completed the survey, of whom 1780 (22.5%) had no complaint, 3889 (49.1%) had a past complaint and 2257 (28.5%) had a recent/current complaint. We excluded those with no complaints leaving 6144 in the final sample.Primary outcomes measuresWe measured anxiety and depression using the Generalised Anxiety Disorder Scale 7 and Physical Health Questionnaire 9. Defensive practice was assessed using a new measure for avoidance and hedging.ResultsMost felt supported by colleagues (61%), only 31% felt supported by management. Not following process (56%), protracted timescales (78%), vexatious complaints (49%), feeling bullied (39%) or victimised for whistleblowing (20%), and using complaints to undermine (31%) were reported. Perceived support by management (relative risk (RR) depression: 0.77, 95% CI 0.71 to 0.83; RR anxiety: 0.80, 95% CI 0.74 to 0.87), speaking to colleagues (RR depression: 0.64, 95% CI 0.48 to 0.84 and RR anxiety: 0.69, 95% CI 0.51 to 0.94, respectively), fair/accurate documentation (RR depression: 0.80, 95% CI 0.75 to 0.86; RR anxiety: 0.81, 95% CI 0.75 to 0.87), and being informed about rights (RR depression 0.96 (0.89 to 1.03) and anxiety 0.94 (0.87 to 1.02), correlated positively with well-being and reduced defensive practice. Doctors worried most about professional humiliation following a complaint investigation (80%).ConclusionPoor process, prolonged timescales and vexatious use of complaints systems are associated with decreased psychological welfare and increased defensive practice. In contrast, perceived support from colleagues and management is associated with a reduction in these effects.

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Global Imperative of Suicidal Ideation in 10 Countries Amid the COVID-19 Pandemic

Frontiers in Psychiatry ◽

10.3389/fpsyt.2020.588781 ◽

2021 ◽

Vol 11 ◽

Author(s):

Teris Cheung ◽

Simon Ching Lam ◽

Paul Hong Lee ◽

Yu Tao Xiang ◽

Paul Siu Fai Yip ◽

...

Keyword(s):

Suicidal Ideation ◽

Health Beliefs ◽

Online Survey ◽

Well Being ◽

Cross Sectional Study ◽

Outcome Variable ◽

Cross Sectional ◽

Patient Health ◽

Novel Coronavirus ◽

The Uk

Background: The novel coronavirus (COVID-19) has had a detrimental impact on individuals' psychological well-being; however, a multi-country comparison on the prevalence of suicidal ideation due to the virus is still lacking.Objectives: To examine the prevalence and correlates of suicidal ideation among the general population across 10 countries during the COVID-19 pandemic.Materials and methods: This was a cross-sectional study which used convenience sampling and collected data by conducting an online survey. Participants were sourced from 10 Eastern and Western countries. The Patient Health Questionnaire (PHQ-9) was used to measure the outcome variable of suicidal ideation. Ordinal regression analysis was used to identify significant predictors associated with suicidal ideation.Results: A total of 25,053 participants (22.7% male) were recruited. Results from the analysis showed that the UK and Brazil had the lowest odds of suicidal ideation compared to Macau (p < 0.05). Furthermore, younger age, male, married, and differences in health beliefs were significantly associated with suicidal ideation (p < 0.05).Conclusions: The findings highlight the need for joint international collaboration to formulate effective suicide prevention strategies in a timely manner and the need to implement online mental health promotion platforms. In doing so, the potential global rising death rates by suicide during the pandemic can be reduced.

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Association between virtues and posttraumatic growth: Preliminary evidence from a Chinese community sample after earthquakes

10.7287/peerj.preprints.910 ◽

2015 ◽

Author(s):

Wenjie Duan ◽

Pengfei Guo

Keyword(s):

Posttraumatic Growth ◽

Community Sample ◽

Well Being ◽

Positive Development ◽

Post Traumatic Stress ◽

Cross Sectional ◽

Indirect Trauma ◽

Direct Trauma ◽

Post Traumatic Growth ◽

Post Traumatic

Objective: Relationship, vitality, and conscientiousness are three fundamental virtues that have been identified recently, which are important individual differences to health, well being, and positive development. This cross-sectional study attempted to explore the relationship between the three constructs and post-traumatic growth (PTG) in three directions, including indirect trauma samples without post-traumatic stress disorder (PTSD), direct trauma samples without PTSD, and direct trauma samples with PTSD. Methods: A total of 340 community participants from Sichuan Province, Mainland China involved in the study, most of which experienced Wenchuan and Lushan Earthquake. Participants were required to complete the self-reported questionnaire packages at one time point for obtaining their scores on virtues (Chinese Virtues Questionnaire), PTSD (PTSD Checklist-Specific), and PTG (Post-traumatic Growth Inventory-Chinese). Results: Significant and positive correlations between the three virtues and PTG were identified (r = .39 to .56; p < .01). Further regression analysis by stepwise method reveled that: in the indirect trauma samples, vitality explained 32% variance of PTG. In reference to the direct trauma sample without PTSD, both relationship and conscientiousness explained 32% variance of PTG; whereas in the direct trauma sample with PTSD, only conscientiousness accounted for 31% the variance in PTG. Conclusion: This cross-sectional investigation partly revealed the roles of different virtues in trauma context. Findings suggest important implications for strengths-based treatment.

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Pathways from adversity to wisdom

10.31234/osf.io/sd3qk ◽

2020 ◽

Author(s):

Anna Dorfman ◽

Igor Grossmann ◽

David A Moscovitch

Keyword(s):

Well Being ◽

Cross Sectional ◽

Folk Beliefs ◽

Personal Strengths ◽

Post Traumatic Growth ◽

Adverse Experiences ◽

Epistemic Humility ◽

Post Traumatic ◽

The One ◽

Health And Well Being

Folk beliefs and philosophers have long suggested that mastering adversity contributes to growth in wisdom –adaptability to the situation, perspectivism, dialectical thinking, and epistemic humility. But existing research on outcomes of adversity suggests a puzzle. On the one hand, cross-sectional studies have found adversity leads to post-traumatic growth in personal strengths such as wisdom. On the other hand, focus on adverse experiences exacerbates negative emotions and thoughts and undermines health and well-being over time. Our chapter highlights the idea that outcomes of adversity may depend on one’s mindset when reflecting on the adverse experience. Adopting a self-distanced mindset rather than the habitual self-focused or self-immersed mindset is likely to enhance wise characteristics. We review evidence-based advances in the study of daily adversity and wisdom, specifically focusing on utilizing longitudinal and experimental methodologies, and address future questions and clinical implications of self-distanced mindsets for growth in wisdom.

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Examining supervisor undermining through the job-demands resources framework

Health Services Management Research ◽

10.1177/09514848211048608 ◽

2021 ◽

pp. 095148482110486

Author(s):

Marilyn V Whitman ◽

Russell A Matthews ◽

Eric S Williams

Keyword(s):

Employee Engagement ◽

Online Survey ◽

Job Demands ◽

Occupational Therapists ◽

Healthcare Setting ◽

Well Being ◽

Cross Sectional Study ◽

Negative Effects ◽

Cross Sectional ◽

Convenience Sample

Introduction Supervisor undermining has recently gained increasing attention due to its negative effects on employee health and well-being. In the healthcare context, negative supervisor behaviors have been linked to unfavorable individual and organizational outcomes as well as medical errors and patient mortality. Our study, therefore, examines the influence that supervisor undermining behavior has on employee engagement and performance within a standard job stress framework. Methods Our sample consisted of occupational therapists, a health professions group who is growing in demand and importance in the U.S. and has unique job demands. Using an observational, cross-sectional study design, a convenience sample of 521 occupational therapists completed an online survey. A series of independent t-test and multiple-groups path analytic modeling was used. Results Participants who had a supervisor perceived as engaging in undermining behaviors reported lower levels of resources, higher levels of demands, less motivation, and more overload than those who did not perceive supervisor undermining. These participants were also less engaged and reported lower levels of performance. Conclusion Our results shed further light on the importance of supervisory behaviors specifically in a healthcare setting and the need for organizations to create an environment that promotes positive and productive workplace behaviors.

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An exploration of violence against paramedics, burnout and post-traumatic symptoms in two Australian ambulance services

International Journal of Emergency Services ◽

10.1108/ijes-03-2017-0014 ◽

2017 ◽

Vol 6 (2) ◽

pp. 134-146 ◽

Cited By ~ 3

Author(s):

Nualnong Wongtongkam

Keyword(s):

Negative Impact ◽

Well Being ◽

Contributing Factors ◽

Public Attention ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Content Type ◽

Significant Difference ◽

Post Traumatic ◽

Traumatic Symptoms

Purpose Violence directed at ambulance paramedics has attracted increasing public attention because of its major negative impact on the physical and psychological well-being of victims and productivity of organisations. The purpose of this paper is to explore the prevalence of violent incidents, contributing factors, burnout and post-traumatic symptoms among paramedics. Design/methodology/approach A cross-sectional survey was distributed in two ambulance services in Tasmania and South Australia, with self-administered instruments completed online. In total, 48 respondents completed questionnaires. Findings There were no significant differences between sites in timing of violent incidents, consequences of traumatic events or organisation provision. Surprisingly, over 90 per cent of paramedics had not been pushed, slapped, beaten, scratched or spat on in the previous month. There was a statistically significant difference between genders for being yelled at or verbally abused (p=0.02). When considering burnout, female paramedics showed significantly higher levels of emotional exhaustion t(37)=–2.32, p=0.02 and lower levels of career satisfaction than their male counterparts, t(37)=3.32, p=0.00. Originality/value Although prevalence rates of violent incidents seemed lower than expected, policy interventions to encourage female paramedics to display their professional identities and steps to enhance well-being and safety while on duty should be considered.

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COVID-19 welbeing study: a protocol examining perceived coercion and psychological well-being during the COVID-19 pandemic by means of an online survey, asynchronous virtual focus groups and individual interviews

BMJ Open ◽

10.1136/bmjopen-2020-043418 ◽

2021 ◽

Vol 11 (1) ◽

pp. e043418

Author(s):

Veronica Ranieri ◽

Andrea Sem Stoltenberg ◽

Elena Pizzo ◽

Chiara Montaldo ◽

Emanuele Bizzi ◽

...

Keyword(s):

Focus Groups ◽

Healthcare Worker ◽

Online Survey ◽

Well Being ◽

Psychological Well Being ◽

Perceived Coercion ◽

Individual Interviews ◽

Post Traumatic Growth ◽

Virtual Focus Groups ◽

Post Traumatic

IntroductionThe COVID-19 pandemic has resulted in many countries applying restrictive measures, such as lockdown, to contain and prevent further spread. The psychological impact of lockdown and working as a healthcare worker on the frontline has been chronicled in studies pertaining to previous infectious disease pandemics that have reported the presence of depressive symptoms, anxiety, insomnia, and post-traumatic stress symptoms. Potentially linked to psychological well-being and not yet studied is the possibility that lockdown and working on the frontline of the pandemic are associated with perceptions of coercion.Methods and analysisThe present study aimed to examine perceived coercion in those who have experienced COVID-19-related lockdown and/or worked as a frontline healthcare worker across three European countries. It aimed to describe how such perceptions may impact on psychological well-being, coping and post-traumatic growth. It will employ an explanatory mixed-methods research methodology consisting of an online survey and online asynchronous virtual focus groups (AVFGs) and individual interviews. χ2 tests and analyses of variance will be used to examine whether participants from different countries differ according to demographic factors, whether there are differences between cohorts on perceived coercion, depression, anxiety and post-traumatic growth scores. The relationship between coercion and symptoms of distress will be assessed using multiple regression. Both the AVFGs and the narrative interviews will be analysed using thematic narrative analysis.Ethics and disseminationThe study has been approved by University College London’s Research Ethics Committee under Project ID Number 7335/004. Results will be disseminated by means of peer-reviewed publications and at national and/or international conferences.

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Distance Learning Effects Among Italian Children and Parents During COVID-19 Related School Lockdown

Frontiers in Psychiatry ◽

10.3389/fpsyt.2021.782353 ◽

2021 ◽

Vol 12 ◽

Author(s):

Giulia Crisci ◽

Irene C. Mammarella ◽

Ughetta M. M. Moscardino ◽

Maja Roch ◽

Lisa B. Thorell

Keyword(s):

Distance Learning ◽

Online Survey ◽

Well Being ◽

Regression Analyses ◽

Negative Effects ◽

School Closures ◽

Psychological Well Being ◽

Positive Effects ◽

Italian Children ◽

Child Age

Background: During the COVID-19 pandemic, both children and their parents experienced consequences related to distance learning (DL). However, positive and negative effects have varied greatly among families, and the specific factors explaining these differences in experiences are still underexplored. In this study, we examined children's executive functions (EF) and parents' psychological well-being in relation to negative and positive effects of DL on both children and their parents.Method: Participants were 637 Italian parents (92% mothers) with a child (48% male) aged between 6 and 19 years involved in DL due to school closures during the first wave of the COVID-19 pandemic. Data were collected using an online survey. We performed three fixed-order hierarchical multiple regression analyses with child age and sex, children's EF deficits, and parents' psychological well-being as independent variables, and DL-related negative effects (on the child and on the parent) and DL-related positive effects as dependent variables.Results: The results of the regression analyses showed that for negative effects of DL, younger age and greater EF deficits explained most part of the variance. Specifically, regarding negative effects on children, the most important factor was EF deficits, whereas regarding negative effects on parents, child age was the most important factor. For positive effects of DL, all variables explained only a small part of the variance. Child age was the most important factor, but EF deficits and parents' psychological well-being also had a significant impact.Conclusions: The effects of DL during school closures vary widely across families. Our findings indicate that intervention efforts need to consider background variables, child factors, as well as parent factors when supporting families with homeschooling in times of pandemic.

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A Cross-Sectional Study of Blood Donors’ Psychological Characteristics over 8 Weeks

Transfusion Medicine and Hemotherapy ◽

10.1159/000517566 ◽

2021 ◽

pp. 1-8

Author(s):

Max Esefeld ◽

Ariane Sümnig ◽

Ulf Alpen ◽

Hans Jörgen Grabe ◽

Andreas Greinacher

Keyword(s):

Blood Donors ◽

Blood Donation ◽

Well Being ◽

Cross Sectional Study ◽

Psychological Characteristics ◽

Psychological State ◽

Structured Interviews ◽

Negative Effects ◽

Cross Sectional ◽

Positive Effects

Background: Previous studies suggest that blood donation impacts blood donors’ psychological state, with either positive or negative effects, such as feeling more energetic or more exhausted. It has not yet been described how long these effects last. Materials and Methods: This prospective cohort study consisted of a qualitative and a quantitative part: (1) Psychological characteristics which changed after blood donation were identified by structured interviews of regular whole blood donors (n = 42). Based on this, a questionnaire addressing 7 psychological dimensions was established. (2) The psychological state of 100 blood donors was assessed after blood donation by applying the questionnaire 15–30 min before and during donation, as well as 15–30 min, 6 h, 24 h, 72 h, 1 week, and 8 weeks after donation. The resulting changes were summarized to a score. Furthermore, potential correlations of the score with pre-donation blood pressure, hemoglobin, or body mass index were calculated. Results: Seven items were identified which changed in at least 25% of blood donors (mood, concentration, satisfaction, resilience, spirit of initiative, physical well-being, energy level). In the 100 blood donors, the well-being score increased (positive effects, n = 23), showed minor changes (n = 53), or decreased (negative effects, n = 24). The positive effects lasted for about 1 week and the negative effects for 3 days. Conclusion: While the frequency of psychological effects following blood donation identified by our study was comparable to others, the changes of the psychological state in our donors were traceable for a longer period than previously acknowledged.

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Associations of Fear of COVID-19 and Depression with Internet Addiction in Korean Adults: A Cross-sectional Online Study (Preprint)

10.2196/preprints.35801 ◽

2021 ◽

Author(s):

Sun Hwa Shin ◽

Jung Jae Lee

Keyword(s):

Psychological Distress ◽

Internet Addiction ◽

Internet Use ◽

Online Survey ◽

Well Being ◽

Population Based ◽

Negative Effects ◽

Cross Sectional ◽

Ehealth Literacy ◽

Korean Adults

BACKGROUND Internet use during the COVID-19 pandemic has increased exponentially, resulting in increasing prevalence of Internet addiction. The negative effects of Internet addiction on health including psychological distress have become more prevalent during the pandemic. OBJECTIVE The study aimed to investigate the associations between Internet addiction and psychological distress, including the fear of Coronavirus Disease 2019 (COVID-19) and depression, in Korean adults during the COVID-19 pandemic. METHODS A population-based cross-sectional online survey was conducted from 14th to 18th May 2021. Potential adult survey respondents aged 20 years or older were randomly extracted from one of the largest online survey panels in Korea, matching Korean national demographical proportions (i.e., region, gender, and age). 1,155 participants were recruited. Descriptive and logistic regression analyses were performed to investigate the participants’ characteristics and analyze the adjusted odds ratios (aORs) respectively. RESULTS 11.17%, 15.15% and 37.23% of the Korean adults were at risk of Internet addiction, COVID-19 fear, and depression respectively. Internet addiction was positively associated with COVID-19 fear (aOR=3.25, 95% CI [2.10, 5.04]) and depressive symptoms (aOR=6.40, 95% CI [4.15, 9.86]). Moreover, the participant group with high COVID-19 fear and depression had a 10.22 times higher odds ratio for Internet addiction (aOR=10.22, 95% CI [5.88, 17.77]), compared with the group with low COVID-19 fear and depression. CONCLUSIONS Addictive use of the Internet was significantly associated with psychological distress during COVID-19 pandemic. Development of public health strategies that mitigate addictive Internet use and increase eHealth literacy will be useful to secure the public’s psychological well-being.

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