scholarly journals Coping with COVID: Risk and Resilience Factors for Mental Health in a German Representative Panel Study

2021 ◽  
Author(s):  
Antje Riepenhausen ◽  
Ilya Veer ◽  
Carolin Wackerhagen ◽  
Zala C. Reppmann ◽  
Göran Köber ◽  
...  

Background: The COVID-19 pandemic might affect mental health. Data from population-representative panel surveys with multiple waves including pre-COVID data investigating risk and protective factors are still rare.Methods: In a stratified random sample of the German household population (n=6,684), we conducted survey-weighted multiple linear regressions to determine the association of various psychological risk and protective factors with changes in psychological distress (PD; measured via PHQ-4) from pre-pandemic (average of 2016 and 2019) to peri-pandemic (both 2020 and 2021) time points. Control analyses on PD change between two pre-pandemic time points (2016 and 2019) were conducted. Regularized regressions were computed to inform on which factors were statistically most influential in the multicollinear setting. Results: PHQ-4 in 2020 (M=2.45) and 2021 (M=2.21) was elevated compared to 2019 (M=1.79). Several risk factors (catastrophizing, neuroticism, asking for instrumental support) and protective factors (perceived stress recovery, positive reappraisal, optimism) were identified for the peri-pandemic outcomes. Control analyses revealed that in pre-pandemic times, neuroticism and optimism were predominantly related to PD changes. Regularized regression mostly confirmed the results and highlighted perceived stress recovery as most consistent influential protective factor across peri-pandemic outcomes. Conclusions: We identified several psychological risk and protective factors related to PD outcomes during the COVID-19 pandemic. Comparison to pre-pandemic data stress the relevance of longitudinal assessments to potentially reconcile contradictory findings. Implications and suggestions for targeted prevention and intervention programs during highly stressful times such as pandemics are discussed.

Author(s):  
Domenico Giacco

Abstract Aims High heterogeneity was found in the prevalence rates of mental disorders in adult asylum seekers and refugees in high-income countries. This may be related to different problems. Among them, there is a changing exposure to risk and protective factors for mental health at different phases of these people's life before migration, and during the migratory journey and resettlement. This study aimed at identifying and distinguishing time points in which distinct risk and protective factors for the mental health of asylum seekers and refugees may occur. Methods Systematic review and narrative synthesis. A systematic search was carried out for the period January 2017–August 2019, given the existence of systematic reviews of the evidence up to January 2017. Results Two hundred and fifty-two studies were identified with our search and 31 studies were included. The critical time points identified are: (a) before the travel; (b) during the travel; (c) at initial settlement in the host country; (d) when attempting to integrate in the host country; (e) when the immigration status is challenged or revoked. Some factors such as sense of belonging in the host country can be risk factors or protective factors depending on the time point. Conclusions These five critical time points can guide the development and selection of well-timed preventive and treatment interventions. They could also be used to stratify samples in epidemiological studies and meta-analyses. At present, we know much more on risk factors than on protective factors. Knowing more about protective factors may inform the development of interventions to foster them.


2021 ◽  
Vol 12 ◽  
Author(s):  
Flávia L. Osório ◽  
Isabella Lara Machado Silveira ◽  
Karina Pereira-Lima ◽  
José Alexandre de Souza Crippa ◽  
Jaime Eduardo Cecílio Hallak ◽  
...  

The objective was to compare the mental health indicators of health workers providing care to individuals with COVID-19 in Brazil, considering sociodemographic and occupational variables and the risk perception of contamination by the Sars-CoV-2 of workers from different professions, identifying risk and protective factors. A sample of 916 health workers was assessed: physicians, nursing workers, and workers from other professions (psychologists, physical therapists, nutritionists, speech therapists, occupational therapists, dentists, pharmacists, and social workers). REDCAP software was used to collect data online, using standardized instruments to assess anxiety, depression, posttraumatic stress, and insomnia, and one questionnaire addressed risk and protective variables. Statistical techniques for comparing groups were used along with logistic regression analysis. The results revealed that all the groups presented indicators of significant mental health problems (>36%), especially the nursing group. A larger percentage of participants, regardless of the profession, presented a high rate of insomnia disorders, while posttraumatic stress was the least expressive. Occupational variables stand out as risk factors for mental health, with specificities among the different groups. A protective factor for all the groups was having positive professional prospects. The protective factors for the physicians group included support provided by co-workers, being older and a man, while being satisfied with physical protective measures implemented by the employing institution was a protective factor for the groups composed of nursing workers and other professionals. These findings are relevant for devising mental health care strategies.


2020 ◽  
Author(s):  
Sarah Elizabeth Racine ◽  
Alexia E. Miller ◽  
Adrienne Mehak ◽  
Vittoria Trolio

Background: The coronavirus disease 2019 (COVID-19) pandemic has impacted the lives of people globally, and the significant mental health consequences of this pandemic are beginning to be documented. In addition to sociodemographic and COVID-19 specific factors, psychological risk and protective mechanisms likely influence individual differences in mental health symptoms in the context of the COVID-19 pandemic. We examined associations between a broad set of risk and protective factors with symptoms of depression, anxiety, alcohol problems, and eating pathology, and investigated interactions between objective stress due to COVID-19 and risk/protective variables in predicting psychopathology. Methods: Participants were 877 adults (73.7% female) recruited via internet sources from around the globe, but primarily residing in North America (87.4%). Results: Structural equation modelling revealed that certain risk and protective factors (e.g., loneliness, latent protective factor, mindfulness) were broadly related to psychopathology, whereas others showed unique relations with specific forms of psychopathology (e.g., greater repetitive thinking and anxiety; low meaning and purpose and depression). COVID-19 objective stress interacted with risk factors, but not protective factors, to predict greater anxiety symptoms, but not other forms of psychopathology. Limitations: This is a cross-sectional study of non-randomly recruited participants who reported high levels of income and education. Rates of problematic alcohol use were low. Conclusions: Findings contribute to our understanding of psychological mechanisms underlying individual differences in psychopathology in the context of a global stressor. Strategies that reduce loneliness and increase mindfulness will likely impact the greatest number of mental health symptoms.


Author(s):  
Estíbaliz Royuela-Colomer ◽  
Liria Fernández-González ◽  
Izaskun Orue

AbstractMindfulness has been associated with fewer negative mental health symptoms during adolescence, but fewer studies have examined longitudinal associations between mindfulness and symptoms in conjunction with two vulnerability factors for psychopathology with mindfulness: rumination and impulsivity. This study examined longitudinal associations between internalizing symptoms (depression, anxiety, stress), mindfulness, rumination, and impulsivity over a one-year period among 352 Spanish adolescents (57.4% girls; M = 14.47, SD = 1.34). Participants completed self-reported measures of symptoms, mindfulness, rumination, and impulsivity at two time points. Mindfulness negatively predicted stress and depressive symptoms, and a bidirectional negative association was found between mindfulness and impulsivity. Impulsivity positively predicted stress, and anxiety positively predicted depressive symptoms, stress, and rumination. This study highlights the importance of mindfulness as a protective factor and impulsivity and anxiety as risk factors for internalizing symptoms throughout adolescence. These findings build on previous studies that examined longitudinal associations between mindfulness and symptoms by including rumination and impulsivity’s roles.


2021 ◽  
Vol 79 (1) ◽  
Author(s):  
Eliane S. Engels ◽  
Michael Mutz ◽  
Yolanda Demetriou ◽  
Anne K. Reimers

Abstract Background Latest studies indicated that the general mental health level is low during the pandemic. Probably, this deterioration of the mental health situation is partly due to declines in physical activity. The aim of this study was to investigate differences in and the association between affective wellbeing and levels of different domains of physical activity at three time points before and during the pandemic. Method We used a nationwide online panel with a trend data design encompassing a total sample of N = 3517, representing the German population (> 14 years). Four different activity domains (sport and exercise, light outdoor activity, housework/gardening, active travel) and affective wellbeing (positive and negative affect) were assessed at three time points before and during the Covid-19 pandemic (October 2019, March 2020, October 2020). Results Multivariate analyses of variance (MANOVA) indicate differences regarding affective wellbeing over the three time points with the lowest values at the second time point. Levels of activity in the four domains differed significantly over time with the strongest decrease for sport and exercise from the first to the second time point. Partial correlations indicated that the relationships between sport and exercise and positive affect were most consistent over time. Conclusions Overall, our findings suggest that physical activity plays a particularly important role in the pandemic period as a protective factor against poor mental health. Especially sports and exercise seem to be supportive and should be encouraged, e.g. by providing additional support in finding adequate outdoor, home-based or digital substitutes.


2021 ◽  
Vol 3 (2) ◽  
pp. 78-91
Author(s):  
Yunita Anggraeni ◽  
Sitti Muthia Maghfirah Massinai ◽  
Rahma Dilla Arnanda

ABSTRACTSynthetic tobacco is a type of drug produced from tobacco mixed with chemical liquids. Synthetic tobacco produces a calming effect, daydreaming, hallucinations, and unconsciousness. In some individuals there is resistance to chemicals, resulting in dizziness, vomiting and unconsciousness. The basic ingredients of tobacco make synthetic tobacco difficult to distinguish from ordinary tobacco. So that the impact on the prevention and eradication of drugs is increasingly difficult. The CJ community is a community of drug users who have used synthetic tobacco for 5 months. This study aimed to determine the risk and protective factors of synthetic tobacco use in the CJ community. This research was a qualitative study on the case of the CJ community with the direct involvement of researchers in the community. The result of the research was an analysis description of the risk and protective factors in the CJ community. Medically dangerous side effects have not been communicated to users in the CJ community. Awareness of the future and responsibility are protective factors that motivate community members to stop using drugs. This research showed that the use of synthetic tobacco type drugs can be more harmful to individuals and the environment. The impact on the individual physically and psychologically will affect the individual's difficulty in interacting with the social environment. There is a need for socialization and education that takes into account various aspects of society so that prevention can take place effectively. The results of the research can become the basis for providing intervention designs with community collaboration as agents of change.Key Word: Synthetic Tobacco, Risk Factor, Protective Factor, Drugs User ABSTRAKTembakau sintetis merupakan jenis narkoba yang dihasilkan dari tembakau yang dicampur dengan cairan kimia. Tembakau sintetis menghasilkan efek tenang, melamun, halusinasi, dan tidak sadarkan diri. Pada beberapa individu terdapat penolakan terhadap zat kimia, berakibat pusing, muntah dan tidak sadarkan diri. Bahan dasar tembakau membuat tembakau sintetis sulit dibedakan dengan tembakau biasa. Sehingga berdampak kepada pencegahan dan pemberantasan narkoba yang semakin sulit. Komunitas CJ merupakan komunitas pengguna narkoba yang sudah menggunakan tembakau sintetis selama 5 bulan. Penelitian ini bertujuan untuk mengetahui risk and protective factor penggunaan tembakau sintetis pada komunitas CJ. Penelitian ini merupakan studi kualitatif pada kasus komunitas CJ dengan keterlibatan langsung peneliti pada komunitas. Hasil penelitian berupa deskripsi analisis dari risk and protective factor pada komunitas CJ. Efek samping yang berbahaya secara medis belum tersosialisasikan kepada para pengguna di komunitas CJ. Kesadaran mengenai masa depan dan tanggung jawab menjadi faktor protektif yang memotivasi anggota komunitas untuk berhenti menggunakan narkoba. Penelitian ini menunjukan bahwa penggunaan narkoba jenis tembakau sintetis dapat lebih berbahaya bagi individu dan lingkungan. Dampak kepada individu secara fisik dan psikologis akan mempengaruhi kesulitan individu berinteraksi dengan lingkungan sosial. Perlu adanya sosialisasi dan edukasi yang memperhatikan berbagai aspek di masyarakat agar pencegahan dapat berlangsung dengan efektif. Hasil penelitian dapat menjadi landasan dalam memberikan rancangan intervensi dengan kolaborasi masyarakat sebagai agen perubahan.Kata Kunci: Tembakau Sintetis, Faktor Risiko, Faktor Protektif, Pengguna Narkoba


BMJ Open ◽  
2021 ◽  
Vol 11 (12) ◽  
pp. e053144
Author(s):  
Emmanuel Nii-Boye Quarshie ◽  
Kwaku Oppong Asante ◽  
Johnny Andoh-Arthur

IntroductionSelf-harm and suicidal behaviour represent major global health problems, which account for significant proportions of the disease burden in low-income and middle-income countries, including Ghana. This review aims to synthesise the available and accessible evidence on prevalence estimates, correlates, risk and protective factors, the commonly reported methods and reasons for self-harm and suicidal behaviour in Ghana.Methods and analysisWe will conduct a systematic review reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement (2009) recommendations. Regional and global electronic databases (African Journals OnLine, African Index Medicus, APA PsycINFO, Global Health, MEDLINE and PubMed) will be searched systematically up to December 2021 for observational studies and qualitative studies that have reported prevalence estimates, correlates, risk and protective factors, methods and reasons for self-harm and suicidal behaviour in Ghana. The electronic database searches will be supplemented with reference harvesting and grey literature searching in Google Scholar and ProQuest Dissertations & Theses Global for postgraduate dissertations. Only records in English will be included. The Mixed Methods Appraisal Tool (2018) will be used to assess the methodological quality of included studies. Meta-analysis or narrative synthesis or both will be used, contingent on the extent of heterogeneity across eligible observational studies.Ethics and disseminationConsidering that this is a systematic review of accessible and available literature, we will not seek ethical approval. On completion, this review will be submitted to a peer-reviewed journal, be disseminated publicly at (mental) health conferences with focus on self-harm and suicide prevention. The important findings would also be shared with key national stakeholder groups in Ghana: Ghana Association for Suicide Prevention, Ghana Mental Health Authority, Ghana Psychological Association, Centre for Suicide and Violence Research, Accra and the Parliamentary Select Committee on Health.Prospero registration numberCRD42021234622.


2020 ◽  
Vol 50 (2) ◽  
pp. 71-88
Author(s):  
Konrad T. Lisnyj ◽  
Regan Russell ◽  
Andrew Papadopoulos

This survey study measured the association between risk and protective factors of anxiety and its implications on the academic performance of 1,053 students at a four-year, public post-secondary institution in southwestern Ontario. Logistic regression analyses revealed 13 significant variables at the univariable level, while the multivariable model yielded seven significant factors. Students who felt hopeless significantly increased their odds of reporting anxiety adversely affecting their academic performance, while being able to manage daily responsibilities was the only protective factor against anxiety impacting students’ educational attainment. By planning, designing, and implementing proactive programs focusing on thesepredictor variables, such interventions can equip students against the debilitative influence of anxiety on their academic success.


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