scholarly journals Exploring Social and Financial Hardship, Mental Health Problems and the Role of Social Support in Asylum Seekers Using Structural Equation Modelling

Author(s):  
Mathilde Sengoelge ◽  
Øivind Solberg ◽  
Alexander Nissen ◽  
Fredrik Saboonchi

Asylum seekers are exposed to a range of social and financial difficulties suggested to adversely impact mental health. Uprooted social networks and living conditions during the asylum seeking process potentially predispose this population to low access to social support. The aim of this study was to examine the relationship between social and financial hardship and mental health problems, and assess the potential mediating role of social support among asylum seekers. Cross sectional survey data from a cohort of asylum seekers in Sweden (N = 455) were subjected to structural equation modelling for examining hypothesized pathways between social and financial hardship, common mental health problems (CMHPs) and social support. Fit indices showed adequate to excellent fit of the examined models with CMHPs as the outcome (all CFI ≥ 0.951, RMSEA < 0.05, SRMR < 0.056). CMHPs were positively regressed on social and financial hardship (B = 0.786, S = 0.102, p < 0.001) and negatively regressed on social support (B = −0.103, SE = 0.032, p = 0.001). Social support mediated the association between social and financial hardship and CMHPs (effect estimate = 0.075, 95% CI = 0.032–0.136). The results point to the importance of social and living conditions of asylum seekers and indicate that social support is both socially patterned and may act as a mitigating resource to inform interventions and policies.

2021 ◽  
Vol 25 (1) ◽  
pp. 63-70
Author(s):  
Muhammad Rafiq ◽  
Saba Safdar

Background: Pre-operative patients are not only suffering from physical and physiological symptoms but they might have psychological issues which may lead to mental health issues. However, different psychosocial factors may help in managing the mental health problems in pre-operative patients. Purpose: This study was aimed to investigate the mediating role of perceived social support on mental health problems in pre-operative patients. Methodology: The sample of the study consisted of 180 participants who were going to get their major surgery done in a week including 51% men and 49% women between the ages of 18-35 years. The participants were presented with a questionnaire including a demographics sheet and three Urdu translated scales as Self -Compassion Scale, Multidimensional Scale of Perceived Social Support, and Depression Anxiety and Stress Scale. Results: The results indicated that there was a significant negative correlation between self-compassion/perceived social support and mental health problems in pre-operative patients. The Pearson Product-Moment Correlation indicated a significant relationship among self-compassion, perceived social support, and mental health problems. Conclusion: The current study spotlighted the importance of the pre-operative time in young adults and the dire need for counseling services to be provided to the patients in this crucial time to enhance the chances of post-operative recovery and wellbeing of the patients. Key words: Self-compassion, Perceive Social Support, Mental Health problems, Pre-operative patients, Major Surgery, young adulthood Citation: Safdar S, Rafiq M. Mediating role of perceived social support on mental health problems in pre-operative patients. Anaesth. pain intensive care 2021;25(1):63–70; DOI: 10.35975/apic.v25i1.1442 Received: 2 December 2020, Reviewed: 1 January 2021, Accepted: 2 January 2021


2013 ◽  
Vol 23 (1) ◽  
pp. 138-148 ◽  
Author(s):  
Emily E. Haroz ◽  
Laura K. Murray ◽  
Paul Bolton ◽  
Theresa Betancourt ◽  
Judith K. Bass

2021 ◽  
Vol 12 ◽  
Author(s):  
Rong Peng ◽  
Wensu Zhou ◽  
Dexin Zhou ◽  
Muyang Chu ◽  
Li Ling

The aim of this study was to explore the mediating role of fatigue between mental health and its associated factors, including workload, social support, and occupational protection, among healthcare workers during the COVID-19 pandemic in China. A national cross-sectional survey was performed to collect data from healthcare workers who have attended to patients with COVID-19. Structural equation modeling (SEM) was conducted to test the mediating effect of fatigue. The results indicated that fatigue was a significant mediator of mental health. The proportion of indirect effect with regards to the total effect of workload on mental health was 54.2%, significantly greater than other factors such as social support (19.7%) and occupational protection (23.4%). The findings confirmed that workload, social support, and occupational protection both had indirect and direct effects on mental health status through fatigue. To some extent, potential interventions designed to alleviate fatigue would reduce mental health problems among healthcare workers during the COVID-19 pandemic.


Author(s):  
Jiannan Li ◽  
Wenqi Liang ◽  
Bocong Yuan ◽  
Guojun Zeng

This study investigates the relationship between internalized stigmatization brought on by epicenter travel experiences and mental health problems (including anxiety, depression, and shame) during the period of the novel coronavirus disease emergency in China. The cross-sectional data were collected using the time-lag design to avoid the common method bias as much as possible. Regression results using structural equation modeling show that the internalized stigmatization of epicenter travel experiences may have positive relationships with mental health problems (i.e., anxiety, depression, and shame), and such relationships can be moderated by social support. Specifically, the positive relationships between internalized stigmatization and mental health problems are buffered/strengthened when social support is at a high/low level. The findings of this study suggest that, in this epidemic, people who have epicenter travel experience could be affected by internalized stigmatization, no matter whether they have ever got infected.


2021 ◽  
Author(s):  
Elizabeth Spry ◽  
Margarita Moreno-Betancur ◽  
Louise Howard ◽  
Stephanie Brown ◽  
Christopher Greenwood ◽  
...  

Postnatal depression (PND) is common and predicts a range of adverse maternal and offspring outcomes. PND rates are highest amongst women with persistent mental health problems before pregnancy, and antenatal healthcare provides ideal opportunity to intervene. We examined antenatal perceived social support as a potential intervention target in preventing PND symptoms among women with prior mental health problems. A total of 398 Australian women (600 pregnancies) were assessed repeatedly for mental health problems before pregnancy (ages 14-29 years, 1992-2006), and again during pregnancy, 2 months postpartum, and 1 year postpartum (2006-2014). Causal mediation analysis found that intervention on perceived antenatal social support has the potential to reduce rates of PND symptoms by up to 3% (from 15% to 12%) in women with persistent preconception symptoms. Supplementary analyses found that the role of low antenatal social support was independent of concurrent antenatal depressive symptoms. Combined, these two factors mediated up to more than half of the association between preconception mental health problems and PND symptoms. Trialing dual interventions on antenatal depressive symptoms and perceived social support represents one promising strategy to prevent PND in women with persistent preconception symptoms. Interventions promoting mental health before parenthood may yield greater reduction in PND symptoms by disrupting a developmental cascade of risks via these and other pathways.


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