scholarly journals Exploring the Coping Strategies of Older Persons During COVID-19 Lockdown in Nigeria: A Qualitative Study

Author(s):  
Isaac Adedeji ◽  
Saheed Akinmayowa Lawal ◽  
Sola Aluko-Arowolo

Abstract Background The challenge of COVID-19 and the restrictions that were imposed in Nigeria had a direct effect on social life. Older persons were disproportionately affected because of the existing social vulnerabilities, socio-economic dependency, and high risk of COVID-19 in the population. Older persons require essential dimensions of social support, but these were significantly limited due to the COVID-19 restrictions. To this end, the study interrogated the coping strategies of older persons. Specifically, the study drew narratives to identify the processes for coping with the mental health challenges associated with being severed from established routines and sources of social support. The study adopted an exploratory research design using qualitative methods. Due to COVID-19 restrictions, in-depth telephone interviews were conducted among twenty-seven (27) older persons in Ibadan, Nigeria. Through a system of content analysis, using Atlas ti 8.4, textual data was analyzed and validated. ResultsThree major themes emerged to describe the coping behaviors, which were embedded in the problem-focused coping strategies of older persons. Older persons explored spirituality, engaged their social networks through telephones, and gave more attention to a healthy diet and physical exercises mainly indoors to improve their general wellness and mental health. The nuances of the coping behaviors reflect the mental health needs – fear, anxiety, and depression, among older persons during the restrictions. ConclusionsTherefore, health promotion by the social support structure and government is valuable for improving the mental health outcomes of older persons in a pandemic.

2020 ◽  
Vol 14 (2) ◽  
pp. 169-182
Author(s):  
Christian Schetsche ◽  
Luis Carlos Jaume ◽  
Lucas Gago-Galvagno ◽  
Ángel Elgier

The aim of this study was to compare a sample of residents in cohousing communities (n = 180) and inhabitants in traditional neighborhoods (n = 104). During the social isolation that was decreed by the German government due to the COVID-19 pandemic, data collection was carried out through the Internet. Psychological symptoms and coping strategies were measured, and their differences were investigated by multivariate analysis of variance (MANOVA). Results showed that residents in cohousing communities have lower levels of depressive, anxiety, compulsive and eating disorders, as well as less use of coping strategies which are based on emotional concealment, problem avoidance, and social withdrawal. Moreover, its inhabitants showed higher levels in the use of social support. It is concluded that living in a cohousing community favors, in comparison with life in traditional neighborhoods, the mental health of its inhabitants.


2014 ◽  
Author(s):  
Carlie A. Phillips ◽  
Nicholas K. Lim ◽  
Brenda Nash ◽  
Christopher Kolb ◽  
Kathryn L. Pask

Author(s):  
Gul Muhammad Baloch ◽  
Kamilah Kamaludin ◽  
Karuthan Chinna ◽  
Sheela Sundarasen ◽  
Mohammad Nurunnabi ◽  
...  

COVID-19 has speedily immersed the globe with 72+ million cases and 1.64 million deaths, in a span of around one year, disturbing and deteriorating almost every sphere of life. This study investigates how students in Pakistan have coped with the COVID-19. Zung’s self-rating anxiety scale (SAS) was used for measuring anxiety and the coping strategies were measured on four strategies i.e., seeking social support, humanitarian, acceptance, and mental disengagement. Among 494 respondents, 61% were females and 77.3% of the students were in the age group of 19–25 years. The study findings indicate that approximately 41 percent of students are experiencing some level of anxiety, including 16% with severe to extreme levels. Seeking social support seemed to be the least preferred coping strategy and that female students seek social support, humanitarian, and acceptance coping strategies more than males. Students used both emotion-based and problem-based coping strategies. The variables of gender, age, ethnicity, level and type of study, and living arrangement of the students were associated with usage of coping strategies. Findings showing that students do not prefer to seek social support. The study outcomes will provide basic data for university policies in Pakistan and the other countries with same cultural contexts to design and place better mental health provisions for students.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Kan-Yuan Cheng ◽  
Chia-Feng Yen

Abstract Background Vocational peer support (VPS) services are recovery-oriented interventions in modern psychiatric care for persons with schizophrenia. However, few VPS services are found in Taiwan. Hence, a pilot program of peer co-delivered vocational rehabilitation to support persons with schizophrenia in Taiwan was proposed and evaluated. Methods Six peers were trained and were willing to co-lead and assist workplace problem-solving groups and care skills training in an extended vocational rehabilitation program from August 2017 to December 2018. The social support, mental health, psychiatric symptoms, and functioning of service users were assessed before and after peer co-delivered services, and the assessments were based on the following: Social Support Scale (SSS), Chinese Health Questionnaire-12 (CHQ-12), Brief Psychiatric Rating Scale (BPRS), Global Assessment of Function (GAF), and the Chinese version of the Social Functioning Scale (C-SFS). Results The recruited 46 service users were mostly middle-aged (49.1 ± 9.8), with 27 being male (58.7%). After interventions, 42 service users who completed the program had a significantly increased SSS score (149.1 ± 31.8 vs. 161.2 ± 35.0, df = 41, t = 2.70, p = 0.01) and subscale of friend-peer dimension (44.4 ± 12.0 vs. 53.2 ± 13.2, df = 41, t = 4.72, p < 0.001). The objective (GAF: 69.8 ± 9.8 vs. 72.6 ± 8.8, df = 41, t = 3.50, p = 0.001) and subjective social functional scores (C-SFS: 75.2 ± 8.8 vs. 78.1 ± 9.5, df = 41, t = 2.59, p = 0.01) both significantly increased. The weekly wage elevated significantly (37.5 ± 35.5 vs. 43.6 ± 38.0, df = 41, t = 2.57, p = 0.01) and the BPRS-18 score decreased significantly, too (31.2 ± 6.7 vs. 29.3 ± 5.0, df = 41, t = − 2.83, p = 0.007). Conclusions Peer co-delivered vocational rehabilitation services may enhance the social support received by persons with schizophrenia and improve their occupational outcomes. The pilot program proposed can thus be a model for non-Western countries with limited resources allocated by governments to support persons with schizophrenia. Trial registration: ClinicalTrials NCT04767204, retrospectively registered on Feb 23, 2021.


Field Methods ◽  
2021 ◽  
pp. 1525822X2199216
Author(s):  
Lesley Jo Weaver ◽  
Nicole Henderson ◽  
Craig Hadley

Food insecurity (FI) is often assessed through experienced-based measures, which address the number and extent of coping strategies people employ. Coping indices are limited because, methodologically, they presuppose that people engage coping strategies uniformly. Ethnographic work suggests that subgroups experience FI quite differently, meaning that coping strategies might also vary within a population. Thus, whether people actually agree on FI coping behaviors is an open question. This article describes methods used to test whether there was a culturally agreed on set of coping behaviors around FI in rural Brazilian majority-female heads of household, and to detect patterned subgroup variation in that agreement. We used cultural consensus and residual agreement analyses on freelist and rating exercise data. This process could be applied as a first step in developing experience-based measures of FI sensitive to intragroup variation, or to identify key variables to guide qualitative analyses.


2021 ◽  
Author(s):  
Jingyi Ou ◽  
yunhanqi ◽  
Ke Zhang ◽  
Yuexiao Du ◽  
Yihang He ◽  
...  

The social isolation due to the COVID-19 pandemic exerts lasing impacts on people’s mental health. However, whether and how people’s pre-existing positive social relationships can serve as stable reserves to alleviate people psychological distress following the disaster remains unknown. To address the question, the current study examined whether pre-pandemic relationship satisfaction would predict post-pandemic COVID-19 anxiety through middle-pandemic perceived social support and/or gratitude using four-wave data in China (N = 222, 54.50% female, Mage = 31.53, SD = 8.17). Results showed that people’s COVID-19 anxiety decreased from the peak to the trough pandemic stage; perceived social support increased markedly from the pre-pandemic to the peak and remained stable afterwards, while relationship satisfaction remained unchanged throughout. Further, it was middle-pandemic perceived social support, but not gratitude, mediated the association between pre-pandemic relationship satisfaction and post-pandemic COVID-19 anxiety, indicating perceived social support played a more crucial role than gratitude in this process. Last, it is suggested to distinguish perceived social support from gratitude as two different components of social interactions.


2020 ◽  
Author(s):  
Anubhuti Poudyal ◽  
Alastair van Heerden ◽  
Ashley Hagaman ◽  
Celia Islam ◽  
Ada Thapa ◽  
...  

Abstract Background: The social environment, including social support, social burden, and quality of interactions, influences a range of health outcomes, including mental health. Passive audio data collection on mobile phones (e.g., episodic recording of the auditory environment without requiring any active input from the phone user) enables new opportunities to understand the social environment. We evaluated the use of passive audio collection on mobile phones as a window onto the relationship between the social environment within a study of mental health among adolescent mothers in Nepal.Methods: We enrolled 23 adolescent mothers who first participated in qualitative interviews to describe their social support and identify sounds potentially associated with that support. Then episodic recordings were collected for two weeks from the same women using an app to capture 30 seconds of audio every 15 minutes from 4am to 9pm. Audio data were processed and classified using a pretrained model. Each classification category was accompanied by a predicted accuracy score. Manual validation of the machine-predicted speech and non-speech categories (10%) was done for accuracy.Results: In qualitative interviews, mothers described a range of positive and negative social interactions and the sounds that accompanied these. Potential positive sounds included adult speech and laughter, baby babbling and laughter, and sounds from baby toys. Sounds characterizing negative stimuli included yelling, crying, screaming by adults and crying by babies. Sounds associated with social isolation included silence and TV or radio noises. Speech comprised of 43% of all passively recorded audio clips (n=7725). Manual validation showed a 23% false positive rate and 62% false-negative rate for speech, demonstrating potential underestimation of speech exposure. Other common sounds included music and vehicular noises.Conclusions: Passively capturing audio has the potential to improve understanding of the social environment. However, the limited accuracy of the pre-trained model used in this study did not adequately distinguish between positive and negative social interactions. To improve the contribution of passive audio collection to understanding the social environment, future work should improve the accuracy of audio categorization, code for constellations of sounds, and combine audio with other smartphone data collection such as location and activity.


2015 ◽  
Vol 20 (3) ◽  
pp. 185-198 ◽  
Author(s):  
Mark Robinson ◽  
Steve Robertson ◽  
Mary Steen ◽  
Gary Raine ◽  
Rhiannon Day

Purpose – The purpose of this paper is to present findings from an evaluation of a mental health resilience intervention for unemployed men aged 45-60. The focus is on examining the place of activities within a multi-dimensional men’s mental health programme, and exploring interactions between social context factors and models of change. Design/methodology/approach – The paper draws on before and after survey data and qualitative interviews, to report results concerning effectiveness in changing men’s perceived resilience, to consider project processes concerning activities, social support and coping strategies, and to situate these within wider environments. Findings – The programme significantly raised the perceived resilience of participants. Activities were engaging for men, while the complex intersection between activities, social networking, and coping strategies course provided opportunities for men to develop resilience in contexts resonant with their male identities. Research limitations/implications – A limitation is that the evaluation could not measure longer term impacts. Practical implications – The paper discusses emerging considerations for resilience building, focusing on gender-sensitive approaches which can engage and retain men by focusing on doing and talking, in the contexts of men’s life-course, highlighting embodied (male) identities not disembodied “mental states”, and facilitating social support. There are challenges to recruit men despite stigma, support men to speak of feelings, and facilitate progression. Social implications – Potential exists for gender-aware programmes to sustain salutogenic change, co-producing social assets of peer support, male-friendly activities, and context sensitive course provision. Originality/value – The paper adds fresh evidence of gendered intervention approaches, including effects on male resilience. Application of a context-sensitive change model leads to multi-component findings for transferring and sustaining programme gains.


2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Nour Hammami ◽  
Scott T. Leatherdale ◽  
Frank J. Elgar

Abstract Background Youth who go hungry have poorer mental health than their counterparts – there are gender differences in this relationship. This study investigated the role of social support in the association between hunger and mental health among a nationally representative sample of youth in Canada in gender-specific analyses. Methods We used a probability-based sample of 21,750 youth in grades 6–10 who participated in the 2017–2018 Canadian Health Behaviour in School-aged Children. Self-report data were gathered on hunger, mental health (measured via the World Health Organization-5 well-being index) and five sources of support – peer, family and teacher support as well as the school climate and neighborhood support. We conducted adjusted, gender-specific, multilevel regression analyses assessing the association between mental health, social support and hunger. Results We found that youth who reported lower support were more likely to experience going to bed hungry (relative to never hungry) across all support factors. As for the social support factors, all the social support factors were associated with a higher mental health score, even after controlling for hunger. Despite these results our final set of models showed that our measures of social support did not alleviate the negative association between hunger and mental health. As for gender-specific findings, the negative association between hunger and a mental health was more pronounced among females relative to their male counterparts. We also found that certain social support factors (i.e., family, teacher and neighborhood support) were associated with a higher mental health score among females relative to males while controlling for hunger status. Conclusions We find that five social support factors are associated with a higher mental health score among ever hungry youth; however, social support did not overpower the negative association between hunger and mental health. Food insecurity is a challenge to address holistically; however, hungry youth who have high social support have higher odds of better mental health.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S557-S557
Author(s):  
Verena R Cimarolli ◽  
Amy Horowitz ◽  
Danielle Jimenez ◽  
Xiaomei Shi ◽  
Francesca Falzarano ◽  
...  

Abstract This study investigated the impact of LDC on mental health utilizing the Sociocultural Stress Process Model as a conceptual framework. A path analytic model tested the impact of caregiving stressors (i.e. distance, frequencies of visits, hours spent helping, burden) and sociocultural values (i.e. familialism) on LDCs’ mental health outcomes (i.e. depression, anxiety), and resources (i.e. coping strategies, social support) which can mediate the association between stressors and mental health outcomes while controlling for socio-demographics. Results show that resources did not mediate the effects of stressors on the mental health outcomes. However, both higher depression and anxiety were associated with living closer to the care recipient (CR), less frequent visits, higher burden, being younger, being female, and less optimal income adequacy. In addition, higher depression was associated with lower use of coping strategies and higher education. Higher anxiety was also associated with lower levels of social support and higher familialism.


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