scholarly journals “Bridge over troubled water”: A first look at adolescent psychiatric outpatients transited from regular care to teletherapy during the COVID-19 outbreak using quantitative and qualitative analyses.

Author(s):  
Mercedes Maria Huscsava ◽  
Christian Scharinger ◽  
Paul L. Plener ◽  
Oswald D. Kothgassner

Abstract BackgroundAdolescents suffering from psychiatric disorders are at risk of disproportionally suffering from the current COVID-19-pandemic. We aimed to assess their specific needs and to evaluate factors influencing a successful transition into teletherapy.MethodsThirty adolescent psychiatric outpatients participated in a series of interviews. The primary outcome was the level of psychosocial functioning. Secondary outcome were potential changes in differential symptom domains. Additionally, answers to open questions were analysed qualitatively.ResultsWithin-group effect size estimates revealed a significant decrease in the level of functioning within the first two months after transition from face-to-face therapy (M = 2·7, SD = 1·258) to teletherapy (M = 3·0, SD = 1·245) (T29 = -2·536, p = 0·017, d = 0·46). Qualitative analysis revealed a marked difference in the level of perceived social support in the subgroup of patients who deteriorated in their level of functioning. Those patients also showed a lower degree of verbal differentiation concerning emotions and affect, as well as a higher degree of introspection and rumination. ConclusionsDespite an overall deterioration, in absolute numbers most patients showed a stagnation in their level of functioning, even if difficulties were expressed. The most prominent difference in the subgroup who showed a decreased level of functioning, was the lack of perceived social support. Provision of strategies to enhance verbalisation and differentiation of emotions and affect might be beneficial.

2020 ◽  
pp. 0095327X2091992
Author(s):  
Eric Proescher ◽  
Darrin M. Aase ◽  
Holly M. Passi ◽  
Justin E. Greenstein ◽  
Christopher Schroth ◽  
...  

This study examined the impact of perceived social support on mental health and psychosocial functioning in combat veterans after military deployment, including veterans with post-traumatic stress disorder (PTSD) and veterans with comorbid PTSD and alcohol use disorder. Veterans ( n = 139; female = 23) completed self-report and clinician-administered measures of social support, mental and physical health, functional impairment, and quality of life. The cohort was divided into high, medium, and low perceived social support based on averages of the total score from the Multidimensional Scale of Perceived Social Support. Relative to the low perceived social support group, the high perceived social support group reported fewer symptoms of PTSD, anxiety, and depression. The high perceived social support group also reported a more diverse and embedded social network, less disability, and better quality of life. Of note, the high and low perceived social support groups did not differ on age, gender, education, race ethnicity, or combat trauma exposure. These findings highlight that perceived social support may play an important role in the treatment of postwar veterans as they transition back to civilian life.


Author(s):  
Yavuz Akbulut ◽  
Selim Günüç

Online social networks have gained considerable popularity among adolescents, but investigations on adolescent engagement with this technology have been limited. The current study investigated adolescents’ Facebook use with regard to their perceived social support characteristics. The data were collected from 255 adolescents in two provincial state schools in Turkey. A personal information form and 12 scaled items were used to collect data. A confirmatory factor analysis was conducted on scale items and relationships between social support and Facebook use behaviors were investigated. Findings revealed that perceived social support from significant others were predicted by the time spent on Facebook. More support from actual face-to-face friends meant fewer online friends whereas more support from significant others meant more online friends. Profile and security settings varied with regard to perceived social support as well. Regardless of socioeconomic status, less family support was related with adding unknown people haphazardly, and using Internet cafés. Finally, less friend support was related with resorting to nicknames rather than real names. Findings are discussed accompanied with limitations of the current study and suggestions for further research.


2018 ◽  
Vol 4 (Supplement 2) ◽  
pp. 104s-104s
Author(s):  
V.S. Mishra ◽  
S. Chandrakala ◽  
D. Saranath

Background: Studies have demonstrated poor quality of life (QOL) among cancer caregivers, but few studies have evaluated QOL and related psychosocial functioning among caregivers for people with hematologic cancer patients. The disease and its associated treatment can have overwhelming consequences for patients and their informal caregivers mostly close family members. Aim: The aim of the study was to analyze the impact of cancer diagnosis and its treatment in caregivers´ quality of life (QoL) and to observe the association with perceived social support. To compare the chronic myeloid leukemia patients to other leukemia patients caregiver to find differences and understand which aspects of QoL are more impacted. Methods: The current study is on-going study; sample is composed of caregivers of patients with chronic myeloid leukemia patients and acute myeloid leukemia, acute lymphoblastic leukemia and other patient's caregiver from the Department of Hematology, KEM Hospital, Mumbai India. We are using Caregiver Quality of Life Index-Cancer (CQOLC) for measuring quality of life among caregivers of cancer patients and Multidimensional Scale of Perceived Social Support (MSPSS) for social support. Results: With the small study sample of caregivers of patients mean age 34.78 ± 6.87 with the age range of 27-45 years, 25% of whom were men. Mean QOL score is 78.34 ± 15.53. In regression analysis caregivers education has shown significant t = 5.611, < 0.05. While marital status shown significant value with social support 3.931, 3.872, < 0.01. While CML caregivers had lower scores for the quality of life and less perceived social support. Conclusion: Caregivers of patients with cancer showed increased burden scores and financial issues and less perceived social support. This could be explained by their unique care situation. These caregivers need more attention and additional counseling session for coping with the situation.


Author(s):  
Jingfang Liu ◽  
Lu Gao

The progress of new media has promoted the development of online health consultations. Previous research has investigated the impact of media richness on user satisfaction; however, little attention has been given to the mixed effects of the nesting of multiple media. The purpose of this study is to analyze the impact and differences of the use of single or mixed media on users’ perceived effect from the perspectives of social support and satisfaction by mining user reviews on online health platforms. The data were collected from a professional online psychological counseling platform. We collected data on 48,807 reviews from 11,694 users. Text annotation and sentiment analysis were then used to extract variable eigenvalues from the reviews. One-way analysis of variance (ANOVA) and hierarchical regression analysis were used for statistical analysis. The results show that mixed media with different richness has a significant impact on the users’ perceived effects. Among them, compared to “text + audio,” using “text + audio + video/face to face” can significantly improve the users’ perceived social support and satisfaction. However, compared to single medium, mixed media with higher richness may not necessarily achieve a better effect. We found that the inclusion of “video/face to face” mixed media significantly reduced the users’ perceived social support and satisfaction compared to text or audio use alone. These research results complement the blank media richness theory in the field of online health care and provide guidance for improving the personalized customization of online psychological counseling platforms.


2019 ◽  
Vol 18 (3) ◽  
pp. 314-321
Author(s):  
Konrad Janowski ◽  
Małgorzata Tatala ◽  
Tomasz Jedynak ◽  
Karolina Wałachowska

AbstractObjectiveSocial support has been reported as beneficial for the psychological functioning of people coping with a disease. The objective of this study was to verify whether levels of perceived social support are associated with psychosocial functioning in women who have had a mastectomy and whether specific types of social support are linked to specific indices of functioning.MethodSeventy women with a history of mastectomy completed questionnaires measuring their psychosocial functioning as related to their health status: Disease-Related Appraisal Scale, Acceptance of Life with the Disease Scale and Beck Depression Inventory. All participants also completed a measure of perceived social support (Disease-Related Social Support Scale).ResultsWomen who reported higher levels of perceived social support revealed statistically significantly lower levels of depressive symptoms, higher appraisals of their disease in terms of challenge and value, and lower appraisals of their disease in terms of obstacle/loss. Women with greater social support also revealed higher levels of acceptance of life with the disease compared to those with less social support. Regression analyses showed that spiritual support was the type of support that significantly accounted for the variance in the majority of functioning indices. Some indices of functioning were also significantly accounted for by emotional and instrumental support.Significance of the resultsThe process of psychological adjustment to a life-threatening disease such as breast cancer depends on multiple variables; however, social support, including spiritual support, seems to be one significant contributor to this process.


Author(s):  
Syed Khalil Ahmed ◽  
Muhammad Majid Khan ◽  
Rao Aamir Khan ◽  
Bahaudin G. Mujtaba

The purpose of this study is to investigate the relationship between social capital and psychological well-being through perceived social support testing social media usage as a moderator. This study is based on social capital theory, which is centred on human interaction through social support to amplify the psychological well-being. Data was collected from 368 masters' students belonging to five different campuses. Using partial least squares structural equation modelling the results reveal that perceived social support significantly mediates the link between social capital and psychological well-being, and social media usage heightens the relationship between social capital and saws social support when it is used for a social cause. Findings of the study have some practical implications on how to diagnose and prevent factors that influence the feelings of isolation and loneliness in online interactions. The results are useful for digital media users and managers in higher education distance learning institutions since social interaction might indirectly benefit virtual university students' psychological well-being by increasing the perceived social support followed by social capital. Researchers agree that using social media may help to improve students' levels of life quality if educational administrators can develop novel applications that pay close attention to individuals' social and moral support. As such, social media designers could design more entertaining features to efficiently stimulate students and other users to adapt and meet their needs for social interactions. This research has established that a simple social conversation forum app should be launched by any virtual university to bring their students together where they could feel a sense of belonging and connectedness with a slice of social support. Moreover, teachers should also have a separate informal blog where they could communicate with their students each week to overcome the lack of face-to-face interaction. The administration of virtual universities has to increase the number of face-to-face gathering and seminars, i.e. it should be once in a semester rather than once in the entire study program. It will motivate the students by making references and relations with their peers. By spreading this knowledge, the students may get out of the state of isolation that will improve their performance. By demonstrating this in the higher education sector, virtual universities could reduce the service staff more intelligently through AI, and delay in response time (e.g., communication between student-to-student and student-to-teacher) could also be removed efficiently. Applying this model in virtual university settings could bring local and international students to obtain more significant social support, consequently leading to amplified psychological well-being. Keywords psychological well-being, social capital, internet marketing, social media usage, perceived social support online communities, e-learning, virtual engagement, social ties, online social interaction, loneliness, and isolation.


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