The Traumatic Life Experiences and Ontological Well-Being: Insights from Narrative Psychology and Self-Memory Theory

Ontological well-being adopts a holistic perspective on well-being similar to the narrative psychology when analyzing life histories by referring to past, present, and future aspects of one's life. Relatedly, the self-memory view proposes that life events are self-evaluated. Based on the narrative psychology and self-memory approach, affective life events and emotions are processed in the memory and play a role in structuring self-perceptions and psychological well-being. Therefore, turbulent external conditions such as the pandemic, uncertain environments and socio-economic challenges may lead to traumatic experiences for individuals. Being exposed to traumatic events and experiencing post-traumatic stress harms mental health, well-being, and work performance. This study aims to examine the relationship between traumatic life experiences and ontological well-being within the period of COVID 19 pandemic. It is intended to reveal the impact of traumatic experiences on ontological well-being of individuals in work life. A cross-sectional study was utilized throughout an online survey with the participation of 270 employees working in various private organizations. Following the statistical analyses, the findings were evaluated and both conceptual and practical discussions were provided.

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Coping Strategies and Psychopathological Responses Among Medical and Non-medical Professionals – a Cross-Sectional Online Survey

Frontiers in Psychiatry ◽

10.3389/fpsyt.2021.663224 ◽

2021 ◽

Vol 12 ◽

Author(s):

Marta Ciułkowicz ◽

Julian Maciaszek ◽

Błażej Misiak ◽

Anna Pałȩga ◽

Joanna Rymaszewska ◽

...

Keyword(s):

Coping Strategies ◽

Online Survey ◽

General Health Questionnaire ◽

Well Being ◽

Medical Professionals ◽

Post Traumatic Stress ◽

Cross Sectional ◽

Event Scale ◽

Medical Career ◽

The Impact

Background: The SARS-CoV-2 pandemic was announced on March 11th, 2020, due to a surge of newly confirmed cases that significantly impacted populations worldwide, both directly and indirectly. Based on past epidemics research, the mental health implications of introduced restrictions should be expected and adequately addressed irrespective of the practiced profession.Objective: The study aimed to explore psychopathological responses, including post-traumatic stress disorder (PTSD), concerning coping strategy clusters during the COVID-19 pandemic among medical and non-medical workers.Methods: A cross-sectional web survey of the general population of internet users was performed from March 16th to April 26th, 2020, in Poland during the first peak of COVID-19 cases. A sample of 1,831 professionally active respondents, 64.0% of which pursuing a medical career, filled out General Health Questionnaire-28 (GHQ-28), The Impact of Event Scale-Revised (IES-R), and MiniCOPE, along with the socio-demographic questionnaire exploring personal as well as the work-related possibility of direct exposure to contagion and availability of proper protection, contact with the infected without accurate protective measures as well as the adequacy of workers when compared settings.Results: Individuals labeled with specific clusters had significantly different psychopathological manifestations. Irrespective of performed job maladaptive cluster was associated with significantly higher GHQ-28 and IES-R scores on total subscales and all subscales compared to those representing the non-specific and adaptive cluster. Similar findings were observed concerning the frequency of the GHQ-28 positive score. Moreover, the non-specific cluster was associated with significantly higher GHQ-28 total scores among medical professionals. However, GHQ-28 positive scores were significantly more frequent in medical workers using adaptive clusters when compared to non-specific. Such relations were not observed in the non-medical group.IES-R total and subscales' scores did not significantly vary within medical and non-medical groups when adaptive and non-specific clusters were compared. Pursuing a non-medical career was found to be a determinant of lower scores, while female sex was observed to be determinant of higher scores in both GHQ-28 and IES-R scales.Conclusions: Positive screening for psychopathological and PTSD symptoms was expected regardless of the analyzed groups' coping strategies. Given the dramatically developing situation of the COVID-19 pandemic, support initiatives grounded in research evidence may be essential for maintaining the mental well-being and resilience of both the medical and non-medical workforce.

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Relationship between self-care activities, stress and well-being during COVID-19 lockdown: a cross-cultural mediation model

BMJ Open ◽

10.1136/bmjopen-2020-048469 ◽

2021 ◽

Vol 11 (12) ◽

pp. e048469

Author(s):

Elkin Luis ◽

Elena Bermejo-Martins ◽

Martín Martinez ◽

Ainize Sarrionandia ◽

Cristian Cortes ◽

...

Keyword(s):

General Population ◽

Online Survey ◽

Self Care ◽

Well Being ◽

Active Role ◽

Total Sample ◽

Cross Sectional ◽

Psychological Well Being ◽

Sociodemographic Variables ◽

The Impact

ObjectivesTo examine the mediation role of self-care between stress and psychological well-being in the general population of four countries and to assess the impact of sociodemographic variables on this relationship.DesignCross-sectional, online survey.ParticipantsA stratified sample of confined general population (N=1082) from four Ibero-American countries—Chile (n=261), Colombia (n=268), Ecuador (n=282) and Spain (n=271)—balanced by age and gender.Primary outcomes measuresSociodemographic information (age, gender, country, education and income level), information related to COVID-19 lockdown (number of days in quarantine, number of people with whom the individuals live, absence/presence of adults and minors in charge and attitude towards the search of information related to COVID-19), Perceived Stress Scale-10, Ryff’s Psychological Well-Being Scale-29 and Self-Care Activities Screening Scale-14.ResultsSelf-care partially mediates the relationship between stress and well-being during COVID-19 confinement in the general population in the total sample (F (3,1078)=370.01, p<0.001, R2=0.507) and in each country. On the other hand, among the evaluated sociodemographic variables, only age affects this relationship.ConclusionThe results have broad implications for public health, highlighting the importance of promoting people’s active role in their own care and health behaviour to improve psychological well-being if stress management and social determinants of health are jointly addressed first. The present study provides the first transnational evidence from the earlier stages of the COVID-19 lockdown, showing that the higher perception of stress, the less self-care activities are adopted, and in turn the lower the beneficial effects on well-being.

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Perceptions of Study Conditions and Depressive Symptoms During the COVID-19 Pandemic Among University Students in Germany: Results of the International COVID-19 Student Well-Being Study

Frontiers in Public Health ◽

10.3389/fpubh.2021.674665 ◽

2021 ◽

Vol 9 ◽

Author(s):

Paula Mayara Matos Fialho ◽

Franca Spatafora ◽

Lisa Kühne ◽

Heide Busse ◽

Stefanie M. Helmer ◽

...

Keyword(s):

Depressive Symptoms ◽

University Students ◽

Online Survey ◽

Positive Association ◽

Well Being ◽

Cross Sectional ◽

German Student ◽

The University ◽

The Impact ◽

Mental Well Being

Background: Results of previous studies examining the impact of the SARS-CoV-1 epidemic in 2003 on university students' mental well-being indicated severe mental health consequences. It is unclear how the current COVID-19 pandemic and the changes in study conditions due to federal regulations affected mental well-being in the German student population. We examined university students' perceptions of study conditions during the COVID-19 pandemic and investigated associations between study conditions and depressive symptoms.Methods: A cross-sectional online survey was conducted in Germany in May 2020 at four universities (N = 5,021, 69% female, mean age: 24 years, SD: 5.1). Perceived study conditions, as well as sociodemographic information, were assessed with self-generated items and the CES-D 8 scale was used to determine depressive symptoms. Associations between perceived study conditions (academic stress and academic satisfaction), in general, and confidence to complete the semester, in particular, and depressive symptoms were analyzed using generalized linear regressions.Results: Fifty-four percent of survey participants felt that the university workload had significantly increased since the COVID-19 pandemic; 48% were worried that they would not be able to successfully complete the academic year; 47% agreed that the change in teaching methods caused significant stress. Regarding depressive symptoms, the mean score of the CES-D 8 scale was 9.25. Further, a positive association between perceived study conditions and depressive symptoms was found (p < 0.001), indicating that better study conditions were associated with fewer depressive symptoms. Results of the generalized linear regression suggest that better student mental well-being was related to higher confidence in completing the semester.Conclusions: This study provides first insights into perceived study conditions and associations with depressive symptoms among students during the COVID-19 pandemic in Germany. Findings underline the need for universities to provide intervention strategies targeting students' mental well-being during the course of the pandemic.

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The impact of the COVID-19 "Infodemic" on Well-being: Social media practices during the pandemic - a cross-sectional study (Preprint)

10.2196/preprints.27920 ◽

2021 ◽

Author(s):

Iffat Elbarazi ◽

Basema Saddik ◽

Michal Grivna ◽

Faisal Aziz ◽

Deena Al Souri ◽

...

Keyword(s):

Social Media ◽

United Arab Emirates ◽

Health Care Professionals ◽

Online Survey ◽

Well Being ◽

World Health ◽

Cross Sectional ◽

The World ◽

The Impact ◽

Media Practices

BACKGROUND The COVID-19 pandemic created a crisis in the world of information and digital literacy. The amount of misinformation surrounding COVID-19 that has circulated through social media (SM) since January 2020 is notably significant and it has been linked to rising levels of anxiety and fear amongst SM users. The COVID-19 'infodemic' was singled out by the World Health Organization (WHO) and several newly published studies as one of the causes of anxiety, depression, and fear amongst the global population OBJECTIVE This study aimed to assess SM practices during COVID-19 and investigates their impact on well-being. METHODS An online infodemic cross-sectional survey was distributed via different SM platforms in the United Arab Emirates and other countries. Adults above 18 years of age were invited to complete an online survey that covered multiple domains, including the WHO-5 Well-being Index. RESULTS The study sheds light on the use of SM during the pandemic and its impact on well-being throughout the novel coronavirus pandemic. Out of 993 participants, 73% were females, 76% were non-Emirati, 91% university graduates, and 50% were employed in various occupations, of which 20% were health care professionals. Participants indicated that they acquired COVID-19 related information primarily from social media, of which WhatsApp was the most accessed. Most participants reported sharing the information after the verification. The mean well-being score was 12.6 ±5.6 with 49% of participants had poor well-being (WHO-5 score <12.5). The adjusted linear regression showed that Facebook usage was negatively associated with well-being score. Also, high time-usage was associated with poorer well-being. When adjusting for other factors, including low confidence in information around COVID-19 and poor knowledge overall, SM usage was significantly associated with poorer well-being CONCLUSIONS Social media practices during emergencies and disasters may impact public well-being. Authorities are advised to step in to minimize the spread of misinformation and more frequent use of social media, as it may influence well-being leading to increased levels of anxiety, stress, and depression. Public health specialists, information technology and communication experts should collaborate to limit the infodemic effect on communities.

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Concerns, Perceived Impact, Preparedness in Coronavirus Disease (COVID-19) Pandemic and Health Outcomes among Italian Physicians: A Cross-Sectional Study

Journal of Primary Care & Community Health ◽

10.1177/21501327211000245 ◽

2021 ◽

Vol 12 ◽

pp. 215013272110002

Author(s):

Igor Portoghese ◽

Federico Meloni ◽

Maura Galletta ◽

Ilenia Piras ◽

Ernesto D’Aloja ◽

...

Keyword(s):

Mental Health ◽

Risk Factors ◽

Job Stress ◽

Online Survey ◽

Well Being ◽

Snowball Sampling ◽

Cross Sectional ◽

Perceived Impact ◽

Job Role ◽

The Impact

Background: Health care workers (HCWs) are among the professionals at serious risk for the impact of the COVID-19 pandemic on their mental health. In this sense, the next public health challenge globally will be to preserving healthy HCWs during this pandemic. Aim: The present study has the aim of investigating the relationship among concerns, perceived impact, preparedness for the COVID-19 pandemic and the mental health of Italian physicians. Methods: From March 29th to April 15th 2020, we conducted an online survey using snowball sampling techniques through Limesurvey platform. Data were analyzed using descriptive statistics and multiple binary logistic regressions. Results: Multivariate analysis showed that the risk factors for perceived job stress were concerns about catching COVID-19 (OR = 3.18 [95% CI = 2.00-5.05] P < .001), perceived impact on job demands (OR = 1.63 [95% CI = 1.05-2.52] P < .05), perceived impact on job role (OR = 2.50 [95% CI = 1.60-3.90] P < .001), and non-working concerns (OR = 1.86 [95% CI = 1.15-3.03] P < .05). With respect to the risk factors for rumination about the pandemic emerged concerns about catching COVID-19 (OR 1.74, [95% CI = 1.12-2.71] P < .05), perceived impact on job role (OR = 1.68 [95% CI = 1.12-2.52] P < .05), and impact on personal life (OR = 2.04 [95% CI = 1.08-3.86] P < .05). Finally, the risk factors for crying at work were perceived impact on job role (OR = 2.47, [95% CI = 1.20-5.09] P < .05), rumination about the pandemic (OR = 3.027 [95% CI = 1.27-7.19] P < .01), watching colleagues crying at work (OR = 3.82 [95% CI = 1.88-7.77] P < .01), and perceived job stress (OR = 3.53 [95% CI = 1.24-10.07] P < .05). Conclusion: In general, our results highlighted that being concerned about being infected/infecting other people, carrying out new and unusual tasks, and witnessing colleagues crying at work were important risk factors for physicians’ well-being. Additional data are necessary to advance understanding of these risk factors in a long-term perspective.

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Assessment of impact of the COVID-19 pandemic from the perspective of patients with rheumatic and musculoskeletal diseases in Europe: results from the REUMAVID study (phase 1)

RMD Open ◽

10.1136/rmdopen-2020-001546 ◽

2021 ◽

Vol 7 (1) ◽

pp. e001546

Author(s):

Marco Garrido-Cumbrera ◽

Helena Marzo-Ortega ◽

Laura Christen ◽

Pedro Plazuelo-Ramos ◽

Dale Webb ◽

...

Keyword(s):

Disease Activity ◽

Online Survey ◽

Musculoskeletal Diseases ◽

Phase 1 ◽

Depression Scale ◽

Well Being ◽

Healthcare Services ◽

Study Phase ◽

Cross Sectional ◽

The Impact

AimTo assess the impact of the COVID-19 pandemic on patients with rheumatic and musculoskeletal diseases (RMDs).MethodsREUMAVID is a cross-sectional study using an online survey developed by an international multidisciplinary patient-led collaboration across seven European countries targeting unselected patients with RMDs. Healthcare access, daily activities, disease activity and function, well-being (WHO Five Well-Being Index (WHO-5)), health status, anxiety/depression (Hospital Anxiety and Depression Scale (HADS)) and access to information were evaluated. Data were collected in April–July 2020 (first phase).ResultsData from the first phase included 1800 patients with 15 different RMDs (37.2% axial spondyloarthritis, 29.2% rheumatoid arthritis, 17.2% osteoarthritis and others). Mean age was 53, 80% female and 49% had undertaken university studies. During the beginning of the pandemic, 58.4% had their rheumatology appointment cancelled and 45.6% reported not having received any information relating to the possible impact of SARS-CoV-2 infection in their RMDs, with the main source being patient organisations (27.6%).Regarding habits, 24.6% increased smoking, 18.2% raised their alcohol consumption, and 45.6% were unable to continue exercising. Self-reported disease activity was high (5.3±2.7) and 75.6% reported elevated pain. Half the patients (49.0%) reported poor well-being (WHO-5) and 46.6% that their health had changed for the worse during lockdown. According to HADS, 57.3% were at risk of anxiety and 45.9% of depression.ConclusionThroughout the first wave of the COVID-19 pandemic, patients with RMDs have experienced disruption in access to healthcare services, poor lifestyle habits and negative effects on their overall health, well-being and mental health. Furthermore, information on COVID-19 has not reached patients appropriately.

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Impact of COVID-19 on work-related fatigue and satisfaction among oncology providers in Latin America: An analysis of the HOLA COVID-19 study.

Journal of Clinical Oncology ◽

10.1200/jco.2021.39.15_suppl.11014 ◽

2021 ◽

Vol 39 (15_suppl) ◽

pp. 11014-11014

Author(s):

Ana I. Velazquez Manana ◽

Carolina Bernabe Ramirez ◽

Coral Olazagasti ◽

Paulo Gustavo Bergerot ◽

Enrique Soto Perez De Celis ◽

...

Keyword(s):

Latin America ◽

Latin American ◽

Online Survey ◽

Psychosocial Support ◽

Well Being ◽

Cross Sectional ◽

Work Related ◽

Baseline Characteristics ◽

Oncology Providers ◽

The Impact

11014 Background: The well-being of oncology providers (OP) is in jeopardy with increasing workload, limited resources, and personal challenges that result from the COVID-19 pandemic. We aim to evaluate the impact of COVID-19 on work-related (WR) satisfaction and fatigue among OP in Latin America. Methods: We conducted an international cross-sectional online survey of OP practicing in Latin America. The survey was administered in English, Spanish, and Portuguese. Data was analyzed using descriptive statistics and Chi-square tests. Results: In August 2020, 704 OP from 20 Latin American countries completed the survey (77% of 913 who started the survey). Table outlines baseline characteristics. Higher frequency of WR fatigue (67% vs. 58%, p=0.010) and exhaustion (81% vs. 70%, p=0.001) were reported by OP who cared for patients with COVID-19, compared to OP who cared for patients without COVID-19. Providers that observed delays in referrals to radiation (p=0.002) and surgery (p=0.04) reported WR fatigue at higher rates than their counterparts. Higher exhaustion (p=0.016) and dissatisfaction (p=0.046) were reported by OP who lacked access to supportive services, as social work. A significantly higher proportion of women reported WR fatigue (72% vs. 56%, p=0.003) and exhaustion (86% vs. 68%, p=0.001), when compared to men. Women were more likely than men to endorse higher current levels of fatigue when compared to pre-COVID-19 (61% vs. 46%, p=0.0001). To reduce stress, women were more likely than men to cut the time spent watching the news (p=0.002). Both genders declined research collaborations and speaking opportunities. Conclusions: Fatigue and dissatisfaction with work-life were prevalent among OP in Latin America. Higher rates of WR fatigue were seen in women, OP caring for patients with COVID-19, and OP with patients who experienced cancer care delays. Our data imply that OP may be a prime target for psychosocial support, particularly as current challenges will continue for the foreseen future. Baseline characteristics (N=704).[Table: see text]

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Impact of the COVID-19 pandemic and initial period of lockdown on the mental health and well-being of adults in the UK

BJPsych Open ◽

10.1192/bjo.2020.79 ◽

2020 ◽

Vol 6 (5) ◽

Cited By ~ 3

Author(s):

Ross G. White ◽

Catharina Van Der Boor

Keyword(s):

Mental Health ◽

Online Survey ◽

Initial Period ◽

Depression Scale ◽

Well Being ◽

World Health ◽

Cross Sectional ◽

Convenience Sample ◽

The Impact ◽

Health And Well Being

Summary The impact of the COVID-19 pandemic on mental health and well-being were assessed in a convenience sample of 600 UK adults, using a cross-sectional design. Recruited over 2 weeks during the initial phase of lockdown, participants completed an online survey that included COVID-19-related questions, the Hospital Anxiety and Depression Scale, the World Health Organization (Five) Well-Being Index and the Oxford Capabilities Questionnaire for Mental Health. Self-isolating before lockdown, increased feelings of isolation since lockdown and having COVID-19-related livelihood concerns were associated with poorer mental health, well-being and quality of life. Perceiving increased kindness, community connectedness and being an essential worker were associated with better mental health and well-being outcomes.

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The Role of the Sense of Belonging During the Alarm Situation and Return to the New Normality of the 2020 Coronavirus Pandemic (COVID-19) in Spain

Psychological Studies ◽

10.1007/s12646-021-00612-z ◽

2021 ◽

Author(s):

Jesús Saiz ◽

Clara González-Sanguino ◽

Berta Ausín ◽

Miguel Ángel Castellanos ◽

Ana Abad ◽

...

Keyword(s):

Social Support ◽

Sense Of Belonging ◽

Online Survey ◽

Well Being ◽

Cross Sectional Study ◽

Linear Regression Models ◽

Cross Sectional ◽

Related Data ◽

Spiritual Well Being ◽

The Impact

AbstractIn this study we intend to understand the impact of the COVID-19 crisis and the subsequent stay-at-home orders, on the Spanish population's sense of belonging at three moments in time: at the beginning of the lockdown, after one month of lockdown and with the return to the “new normality”. A cross-sectional study was conducted through an online survey (N0 = 3480; N1 = 1041; N2 = 569). The sense of belonging was evaluated by means of four Likert-type items. These questions included membership in different groups: work/studies, friends, family and neighborhood or community. Sociodemographic and COVID-19-related data were collected. Additionally, mental health, spiritual well-being, loneliness, social support and discrimination were assessed. Descriptive analyses were carried out and linear regression models compiled. The sense of belonging increased significantly during confinement, dropping dramatically with the start of the return to the “new normality” process. The only variable that showed interaction with time and sense of belonging was discrimination. Work condition (not working providing the lowest sense of belonging scores), social support from friends and loneliness were the main predictors of the sense of belonging. The impact caused by the pandemic and the actions adopted during the first weeks regarding the sense of belonging is evident. It has been a key variable in dealing with COVID-19. Actions are now needed to increase our sense of belonging to face the post-epidemic crisis and avoid a greater impact in other areas.

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COVID-19 Lockdown and the Behavior Change on Physical Exercise, Pain and Psychological Well-Being: An International Multicentric Study

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18073810 ◽

2021 ◽

Vol 18 (7) ◽

pp. 3810

Author(s):

Anelise Sonza ◽

Danúbia da Cunha de Sá-Caputo ◽

Alessandro Sartorio ◽

Sofia Tamini ◽

Adérito Seixas ◽

...

Keyword(s):

Physical Exercise ◽

Online Survey ◽

Well Being ◽

Multivariate Logistic Regression Model ◽

Chi Square ◽

Cross Sectional ◽

Psychological Well Being ◽

Multicentric Study ◽

Brazilian Sample ◽

The Impact

Objective: To evaluate the impact of the COVID-19 pandemic and the following lockdown on physical exercise (PEx) practice, pain, and psychological well-being. Methods: A cross-sectional multicentric study was performed using a nonrandom convenience sampling from the general population (≥18 years-old) of 6 countries (Brazil, Italy, France, Portugal, Germany, and Spain) adopting social isolation (SI). The validated self-administered online survey (PEF-COVID19) was used. The tests T-test and Chi-square with Bonferroni correction were used for statistical analysis and a multivariate logistic regression model (p ˂ 0.05). Results: We included 3194 replies and ~80% of the respondents were in SI. Brazilian sample was highly influenced by the pandemic considering PEx practice and habits, pain, anxiety, and stress (p ˂ 0.05). Among the European countries, Italy presented the major changes. The model to predict the non-practice of PEx during SI showed that the variables countries, smoking, SI, and PEx level were significant predictors (p ˂ 0.001). Conclusion: The pandemic changed the PEx practice and habits, and the psychological well-being of populations in different manners. Countries, smoking, SI, and PEx level were predictors for the non-practice of PEx. Public health strategies are suggested to avoid sedentary lifestyles and quality of life decrease.

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