scholarly journals Fibromyalgia: Evidence for Deficits in Positive Psychology Resources. A Case-Control Study from the Al-Ándalus Project

2021 ◽  
Vol 18 (22) ◽  
pp. 12021
Author(s):  
Manuel Javier Arrayás-Grajera ◽  
Inmaculada Tornero-Quiñones ◽  
Blanca Gavilán-Carrera ◽  
Octavio Luque-Reca ◽  
Cecilia Peñacoba-Puente ◽  
...  
Keyword(s):  
Positive Psychology ◽  
Negative Affect ◽  
Positive Affect ◽  
Satisfaction With Life ◽  
Case Control Study ◽  
Case Control ◽  
Satisfaction With Life Scale ◽  
Cohen’S D ◽  
Cohen's D ◽  
Control Study

Positive psychology is the study of positive subjective experience and individual traits. Identifying deficits in positive psychology regarding fibromyalgia may inform targets for management. Therefore, the aim of the present case–control study was to compare the levels of positive affect, negative affect, satisfaction with life, optimism and emotional repair in a large sample of women with fibromyalgia (cases) and age-matched peers without fibromyalgia (controls). This case–control study included 437 women with fibromyalgia (51.6 ± 7.1 years old) and 206 age-matched women without fibromyalgia (50.6 ± 7.2 years old). Participants self-reported their levels of (i) subjective well-being on the Positive and Negative Affect Schedule and the Satisfaction with Life Scale, (ii) dispositional optimism on the Life Orientation Test-Revised and (iii) emotional repair on the Trait Meta-Mood Scale. Women with fibromyalgia showed lower levels of positive affect, satisfaction with life, optimism and emotional repair and higher levels of negative affect. Large effect sizes were found for positive affect, negative affect and satisfaction with life (all, Cohen’s d ≥ 0.80) and small-to-moderate for emotional repair and optimism (both, Cohen’s d ≥ 0.50). Women with fibromyalgia experience deficits of positive psychology resources. Thus, developing tailored therapies for fibromyalgia focusing on reducing deficits in positive psychology resources may be of clinical interest, though this remains to be corroborated in future research.

scholarly journals Hubungan Forgiveness dengan Subjective Well-Being pada Remaja di Panti Asuhan

2020 ◽  
Vol 2 (1) ◽  
Author(s):  
Eka Septarianda ◽  
Mohammad Nursalim Malay ◽  
Khoiriyah Ulfah
Keyword(s):  
Life Satisfaction ◽  
Negative Affect ◽  
Positive Affect ◽  
Satisfaction With Life ◽  
Well Being ◽  
Satisfaction With Life Scale ◽  
Subjective Well Being ◽  
Analysis Technique ◽  
Life Scale ◽  
Three Components

ABSTRACT: RELATIONSHIP BETWEEN FORGIVENESS AND SUBJECTIVE WELL BEING AMONG ORPHANAGE ADOLESCENTSThis study aims to determine the relationship between forgiveness and subjective well-being in adolescents who are in the orphanage, through the three components contained in it, i.e. life satisfaction, positive affect and negative affect. The subjects of this study were 58 adolescents in the Budi Mulya Muhammadiyah Sukarame orphanage. Data collection method using three scales, those are Heartland Forgiveness Scale (HFS), Satisfaction with Life Scale (SWLS) and Possitive and Negative Affect Schedule (PANAS). The data analysis technique used is the product moment correlation. The results of the analysis of this study explain that there is a positive relationship between forgiveness and subjective well-being through the three components in SWB. The results of this study have implications about the importance of forgiveness in increasing subjective well being in orphanage adolescent.Keywords: Forgiveness, Subjective Well-Being, Orphanage AdolescentPenelitian ini bertujuan untuk mengetahui hubungan forgiveness dengan subjective well-being pada remaja yang berada di panti asuhan, melalui tiga komponen yang terdapat di dalamnya, yaitu life satisfaction, positive affect dan negative affect. Subjek penelitian ini adalah 58 remaja panti asuhan Budi Mulya Muhammadiyah Sukarame. Metode pengumpulan data menggunakan tiga skala, yaitu Heartland Forgiveness Scale (HFS), Satisfaction with Life Scale (SWLS) dan Possitive and Negative Affect Schedule (PANAS). Data dianalisis dengan korelasi product moment. Hasil penelitian ini menerangkan bahwa terdapat hubungan yang positif antara forgiveness dengan subjective well-being melalui tiga komponen dalam SWB. Hasil penelitian ini memberi implikasi tentang pentingnya forgiveness dalam meningkatkan subjective well being pada remaja dipanti asuhan.Kata Kunci: Forgiveness, Subjective Well Being, Remaja Panti Asuhan 

A Randomized Controlled Pilot Study using Mind–Body Interventions among Refugees in Sweden

2021 ◽  
Vol 9 (3) ◽  
pp. 19-34
Author(s):  
Kevin M. Cloninger ◽  
Alexandre Granjard ◽  
Nigel Lester ◽  
Erik Lindskär ◽  
Patricia Rosenberg ◽  
...  
Keyword(s):  
Life Satisfaction ◽  
Negative Affect ◽  
Positive Affect ◽  
Well Being ◽  
Harm Avoidance ◽  
Traumatic Experiences ◽  
Cohen’S D ◽  
Coaching Intervention ◽  
Self Transcendence ◽  
Cohen's D

Background: Migration is one of the major challenges of the 21st century with many refugees being victims of torture and experiencing war and the collapse of their society. Sweden, for example, received about 169,520 refugees during 2015 and 20–30% of them were estimated to suffer from mental illness. Nevertheless, research shows that about 66.40% of refugees never reveal their traumatic experiences to a doctor and a majority refuse psychiatric help. Hence, we need innovative methods to promote the physical, mental, and social health of refugees. Objective: We examined the effects of Anthropedia’s Well-Being Coaching (i.e., a biopsychosocial approach to coaching) and Well-Being Spa (i.e., modern version of age-old Spa interventions) on the personality and health of a sample of refugees living in Sweden. Methodology: Participants were recruited as part of a health and employment project in Blekinge, Sweden. A total of 70 Syrian refugees were randomly assigned to a six-month intervention comprising either Well-Being Coaching, or Well-Being Spa, or both (i.e., Mind–Body). The participants reported personality (temperament and character), well-being (positive and negative affect, life satisfaction, and harmony in life), and ill-being (defeat and entrapment, and anxiety and depression) at the beginning and at the end of the six-month intervention period. Results: Participants assigned to the Well-Being Coaching intervention showed increases in self-directedness (Cohen’s d = 0.84), cooperativeness (Cohen’s d = 0.36), positive affect (Cohen’s d = 0.43), and life satisfaction (Cohen’s d = 0.56), and decreases in both negative affect (Cohen’s d = 0.38) and defeat (Cohen’s d = 0.89). Participants assigned to the Well-Being Spa intervention showed decreases in harm avoidance (Cohen’s d = 0.55), reward dependence (Cohen’s d = 0.69), negative affect (Cohen’s d = 0.82), anxiety (Cohen’s d = 0.53), defeat (Cohen’s d = 0.34), and external entrapment (Cohen’s d = 0.42). Participants assigned to the Mind–Body intervention showed significant decreases in harm avoidance (Cohen’s d = 0.47), anxiety (Cohen’s d = 0.61), depression (Cohen’s d = 0.34), defeat (Cohen’s d = 0.56), external entrapment (Cohen’s d = 0.44), and internal entrapment (Cohen’s d = 0.79) and increases in persistence (Cohen’s d = 0.27), self-directedness (Cohen’s d = 0.28), cooperativeness (Cohen’s d = 0.43), self-transcendence (Cohen’s d = 0.51), positive affect (Cohen’s d = 0.42), and harmony in life (Cohen’s d = 0.36). Conclusions: The results of the present study suggest that Well-Being Coaching strengthens refugees’ character, while the Well-Being Spa treatments reduced participants’ tendency to worry and anxiety. Finally, the combination of these two interventions seems to promote the development of health-related traits, reduce ill-health, and stress, and increase well-being in a wider biopsychosocial perspective.

scholarly journals Subjective Well-Being Ditinjau Dari Forgiveness Dan Proactive Coping Pada Ibu Tunggal Karena Perceraian Yang Bekerja Sebagai PNS

2019 ◽  
Vol 9 (1) ◽  
pp. 24
Author(s):  
Annissa Fitriasri ◽  
M. Noor Rahman Hadjam
Keyword(s):  
Negative Affect ◽  
Positive Affect ◽  
Satisfaction With Life ◽  
Well Being ◽  
Proactive Coping ◽  
Satisfaction With Life Scale ◽  
Subjective Well Being ◽  
Purposive Sampling ◽  
Life Scale

Abstrak. Penelitian ini merupakan kajian psikologi positif yang bertujuan untuk mengetahui kesejahteraan subjektif ditinjau dari pemaafan dan coping proaktif pada ibu tunggal karena perceraian yang bekerja sebagai PNS pada Pemerintah Provinsi Jateng. Subjek penelitian ini berjumlah 34 orang yang dipilih teknik purposive sampling, dengan karakteristik berusia 25 s.d 45 tahun, pendidikan terakhir minimal setingkat SMU, memiliki anak yang diasuhnya, lamanya menjadi ibu tunggal adalah lebih dari 1 sampai dengan 4 tahun. Alat pengumpul data yang digunakan adalah adaptasi dari Satisfaction With Life Scale (SWLS) oleh Diener, Emmons, Larsen dan Griffin, Positive Affect and Negative Affect Scales (PANAS) oleh Watson, Clark dan Tellegen, Heartland Forgiveness Scale (HFS) oleh Thompson dan Snyder serta Proactive Coping Inventory oleh Greenglass, Schwarzer dan Taubret. Data yang terkumpul dianalisis dengan analisis regresi dengan menggunakan program SPSS for windows versi 16.0. Hasil penelitian menunjukkan: (1) pemaafan dan coping berperan positif dan 2signifikan terhadap kesejahteraan subjektif (F= 19,515; p < 0.00; R=0.747 and R 2= 0.557), (2) sumbangan prediktor (R) pemaafan dan coping proaktif adalah 55,7 %, (3) pemaafan memiliki peran positif dan signifikan terhadap kesejahteraan subjektif (B = 1,320, p < 0.05, dan sumbangan efektif = 31,4 %), (4) coping proaktif memiliki peran positif dan signifikan terhadap kesejahteraan subjektif (B = 0,288, p < 0.05, dan sumbangan efektif= 24,3 %).Kata kunci: coping proaktif, kesejahteraan subjektif, ibu tunggal karena perceraian, pemaafan. 

PENINGKATAN SUBJECTIVE WELL-BEING MELALUI PENGUATAN KEBERSYUKURAN SISWA DALAM INTERAKSI SOSIAL

2021 ◽  
Vol 14 (2) ◽  
pp. 152-165
Author(s):  
Nureyzwan Sabani ◽  
Daliman
Keyword(s):  
Negative Affect ◽  
Positive Affect ◽  
Satisfaction With Life ◽  
Short Form ◽  
Well Being ◽  
T Test ◽  
Satisfaction With Life Scale ◽  
Subjective Well Being ◽  
Paired Sample ◽  
Life Scale

Penelitian ini bertujuan untuk menguji efektivitas penguatan kebersyukuran melalui intervensi menulis surat syukur terhadap peningkatan subjective well being siswa dalam interaksi sosial. Jenis penelitian ini adalah penelitian kuantitatif dan desain penelitian eksperimen. Subjek penelitian ini adalah 20 siswa SD, masing-masing adalah 10 siswa untuk kelompok eksperimen dan 10 siswa untuk kelompok kontrol. Kelompok eksperimen diberikan perlakuan menulis surat syukur. Pengumpulan data menggunakan skala Satisfaction with Life Scale (SWLS) dan Positive Affect and Negative Affect Scale (PANAS) untuk mengukur subjective well-being, sementara Gratitude, Resentment Appréciation Test-Short Form (GRAT-Short Form) digunakan untuk mengukur kebersyukuran siswa. Teknik analisis data menggunakan paired sample t-test. Hasil penelitian menunjukkan penguatan kebersyukuran melalui intervensi menulis surat syukur memberikan bukti dapat meningkatkan subjective well-being siswa khususnya dalam dua komponen utama subjective well-being (kepuasan hidup dan afek positif). Siswa yang mendapatkan intervensi menulis surat syukur menunjukkan perbedaan yang signifikan pada tingkat subjective well-being daripada siswa yang tidak menulis surat syukur.

Childhood maltreatment and life satisfaction in adulthood: The mediating effect of emotional intelligence, positive affect and negative affect

2020 ◽  
pp. 135910532091438 ◽  
Author(s):  
Yanhui Xiang ◽  
Rong Yuan ◽  
Jiaxu Zhao
Keyword(s):  
Life Satisfaction ◽  
Emotional Intelligence ◽  
Negative Affect ◽  
Positive Affect ◽  
Childhood Maltreatment ◽  
Satisfaction With Life ◽  
Mediating Effect ◽  
Satisfaction With Life Scale ◽  
Childhood Trauma Questionnaire ◽  
Life Scale

This study explored the mediation role of emotional intelligence, positive affect, and negative affect in the influence of childhood maltreatment on life satisfaction. A total of 811 participants completed the Childhood Trauma Questionnaire, the Wong Law Emotional Intelligence Scale, the Positive Affect and Negative Affect Scale, and the Satisfaction with Life Scale validly. Results revealed that emotional intelligence, positive affect and negative affect are mediators between childhood maltreatment and life satisfaction. In addition, childhood maltreatment influenced life satisfaction through the sequential intermediary of “emotional intelligence-positive affect” and “emotional intelligence-negative affect”. Theoretical and practical implications are discussed.

scholarly journals Psychological symptoms and salivary inflammatory biomarkers in patients with dentofacial deformities: a case–control study

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Maria C. C. Volkweis ◽  
Gabriela W. Neculqueo ◽  
Raquel D. S. Freitas ◽  
Ana P. A. Dagnino ◽  
Guilherme G. Fritscher ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Case Control Study ◽  
Psychological Symptoms ◽  
Case Control ◽  
Inflammatory Biomarkers ◽  
World Health ◽  
Satisfaction With Life Scale ◽  
Dentofacial Deformities ◽  
Control Study

AbstractIndividuals with dentofacial deformities often display a low quality of life (QoL) through biological mechanisms that remain unraveled. In this case–control study, the salivary levels of cytokines, glutamate, and kynurenine metabolites were assessed in patients undergoing orthognathic surgery (OS), while correlating these parameters with QoL and psychological symptoms. Thirty-six patients were enrolled in control (under orthodontic treatment) and test (undergoing OS) groups, matched by age and sex. The QoL was assessed through the World Health Organization Quality of Life BREF (WHOQOL-BREF) and the Orthognathic Quality of Life Questionnaire (OQLQ). The psychological symptoms were evaluated by the Satisfaction with Life Scale, the Rosenberg Self-Esteem Scale (RSES), and the Depression, Anxiety, and Stress Scale-21 (DASS-21). The salivary levels of IL-1β, IL-6, IL-10, glutamate, and kynurenine metabolites were evaluated. The OQLQ demonstrated increased QoL scores in the test group, regarding social aspects, facial esthetics, and function domains, without significant differences in respect to the other surveys. These patients displayed higher IL-1β and glutamate levels; conversely, the kynurenine metabolites were unaltered. The glutamate levels positively correlated with the OQLQ function scores. The data brings novel evidence about the psychobiological features of patients with dentofacial deformities, showing salivary variations of inflammatory biomarkers in these individuals.

scholarly journals Escala de Autoeficácia para a Atividade com Sentido: Encontrando sentido no envelhecimento ativo

2016 ◽  
Vol 2 (1) ◽  
pp. 3-13 ◽  
Author(s):  
Albertina Oliveira ◽  
Margarida Pedroso de Lima ◽  
Patrícia Portugal
Keyword(s):  
Negative Affect ◽  
Activities Of Daily Living ◽  
Positive Affect ◽  
Meaning In Life ◽  
Daily Living ◽  
Satisfaction With Life ◽  
Satisfaction With Life Scale ◽  
Life Questionnaire ◽  
Life Scale ◽  
Meaning In Life Questionnaire

Objetivos: O presente artigo apresenta um estudo que visa aprofundar as qualidades psicométricas da Escala de Autoeficácia para a Atividade com Sentido (EAASentido), através de análises de fidelidade e validade. A escala foi desenvolvida a partir dos constructos teóricos da autoeficácia, da aprendizagem autodirigida e da atividade de pessoas de idade avançada no âmbito do projeto europeu PALADIN, com o objetivo de criar um instrumento apto a avaliar até que ponto os seniores se sentem confiantes para realizarem atividades com sentido, por si próprios. Método: A investigação é de natureza não experimental e incidiu sobre uma amostra de 503 seniores e idosos das regiões Norte e Centro de Portugal com uma média etária de 71,66 (51 a 96 anos) a quem foram aplicadas a EAASentido, a Escala de Autoestima de Rosenberg (Rosenberg, 1989), a Positive Affect and Negative Affect Scale (Watson e Clark, 1994), a Satisfaction With Life Scale (Diener et al., 1985), o Meaning in Life Questionnaire (Steger, Frazier, Oishi e Kaler, 2006), a Escala de Autoeficácia para a Autodireção na Saúde (Oliveira, 2011) e a Instrumental Activities of Daily Living (Lawton e Brody, 1969). Resultados: A consistência interna encontrada foi de 0,94 (alfa de Cronbach) e a validade de constructo revelou muito bons indicadores. No que respeita à análise de componentes principais, os resultados apontaram para três dimensões e não as cinco inicialmente previstas: atividades de desenvolvimento pessoal e participação social, atividades instrumentais, e atividades espirituais/religiosas. Analisadas as saturações dos itens propôs-se a reformulação da escala, eliminando cinco itens. A consistência interna global dos 15 itens manteve-se elevada (0,92). Conclusões: Conclui-se que a EAASentido, com 15 itens, é bastante consistente e adequada para avaliar em que medida os seniores têm confiança na sua capacidade para se envolverem em atividades com sentido (em termos de indicador global), possuindo boa validade de constructo. Em estudos futuros sugere-se a continuidade da avaliação da sua estrutura dimensional, nomeadamente através de análises confirmatórias.

scholarly journals The Onset of Falls Reduces Subjective Well-Being. Findings of a Nationally Representative Longitudinal Study

2021 ◽  
Vol 12 ◽  
Author(s):  
André Hajek ◽  
Hans-Helmut König
Keyword(s):  
Life Satisfaction ◽  
Negative Affect ◽  
Positive Affect ◽  
Fixed Effects ◽  
Satisfaction With Life ◽  
Well Being ◽  
Satisfaction With Life Scale ◽  
Positive And Negative Affect ◽  
Subjective Well Being ◽  
Older Individuals

Introduction: The prevalence of older individuals experiencing a fall is high. Moreover, falls can have deleterious effects on health status. Additionally, falls can affect the subjective well-being of individuals. However, there is a lack of studies examining the link between falls and subjective well-being. Therefore, the objective of this study was to investigate whether the onset of falling is associated with (intraindividual) decreases in subjective well-being in men and women.Materials and Methods: Longitudinal data (from wave 5 to wave 6) were taken from a population-based sample of individuals residing in private households in Germany [in our analytical sample: 3,906 observations (men), and 3,718 observations (women)]. Positive and negative affect were quantified using the Positive and Negative Affect Schedule (PANAS). Life satisfaction was assessed using the Satisfaction with Life Scale (SWLS).Results: Adjusting for various potential confounders, fixed effects regressions showed that the onset of falls was associated with a decrease in positive affect (β = 0.08, p &lt; 0.01), and an increase in negative affect (β = 0.07, p &lt; 0.01) among men. While the onset of falls was not associated with changes in positive affect in women, it was associated with a decrease in negative affect in women (β = 0.06, p &lt; 0.05). Sex differences were significant. The onset of falls was not associated with decreases in life satisfaction in men, nor in women.Discussion: The present study particularly highlights the link between the onset of falls and reduced affective well-being among men. Avoiding falls may contribute to maintaining affective well-being among middle-aged and older men.

scholarly journals Italian and Swedish adolescents: differences and associations in subjective well-being and psychological well-being

PeerJ ◽  
2017 ◽  
Vol 5 ◽  
pp. e2868 ◽  
Author(s):  
Danilo Garcia ◽  
Elisabetta Sagone ◽  
Maria Elvira De Caroli ◽  
Ali Al Nima
Keyword(s):  
Life Satisfaction ◽  
Negative Affect ◽  
Positive Affect ◽  
Satisfaction With Life ◽  
Group Analysis ◽  
Well Being ◽  
Satisfaction With Life Scale ◽  
Subjective Well Being ◽  
Psychological Well Being ◽  
The Relationship

BackgroundOne important aspect of subjective judgments about one’s well-being (i.e., subjective well-being: life satisfaction, positive affect, and negative affect) is that cultural features, such as, nationality seem to shape cognitive judgments about the “the ideal life.” In this comparative study we examined differences in subjective well-being and psychological well-being between Italian and Swedish adolescents and tested if the relationship between the three constructs of subjective well-being (i.e., satisfaction with life, positive affect, and negative affect) and psychological well-being was moderated by the adolescents’ nationality.MethodItalian (n= 255) and Swedish (n= 277) adolescents answered to the Satisfaction with Life Scale, the Positive Affect Negative Affect Schedule, and Ryff’s Scales of Psychological Well-Being. Differences between samples were tested using a Multiple Analysis of Variance. We also conducted a multiple group analysis (Italy and Sweden) using Structural Equation Modelling to investigate the relationship between all three subjective well-being constructs and psychological well-being.ResultsItalian adolescents scored significantly higher in satisfaction with life than Swedish adolescents. Additionally, across countries, girls scored significantly higher in negative affect than boys. In both countries, all three constructs of subjective well-being were significantly associated to adolescents’ psychological well-being. Nevertheless, while the effect of the relationship between affect and psychological well-being was almost the same across countries, life satisfaction was more strongly related to psychological well-being among Swedish adolescents.ConclusionsThe present study shows that there are larger variations between these two cultures in the cognitive construct of subjective well-being than in the affective construct. Accordingly, associations between the cognitive component, not the affective component, of subjective well-being and psychological well-being differ between countries as well.

scholarly journals Kesejahteraan Subjektif Mahasiswa dimasa Pandemi Covid-19

2021 ◽  
Vol 5 (2) ◽  
Author(s):  
Naila Kamaliya ◽  
Hari Setyowibowo ◽  
Surya Cahyadi
Keyword(s):  
Life Satisfaction ◽  
Negative Affect ◽  
Positive Affect ◽  
Satisfaction With Life ◽  
Satisfaction With Life Scale ◽  
Positive And Negative Affect ◽  
Domain Satisfaction ◽  
Life Scale

Pemberlakuan jaga jarak fisik untuk mengurangi penyebaran Covid-19 telah berdampak pada seluruh lapisan masyarakat termasuk mahasiswa. Pemerintah Indonesia menghentikan aktivitas pembelajaran tatap muka dan diganti dengan pembelajaran daring pada perguruan tinggi yang terdampak Covid-19. Perubahan aktivitas secara tiba-tiba memungkinkan untuk berdampak pada kondisi mahasiswa pula, seperti keadaan kesejahteraan subjektif mahasiswa. Penelitian ini membahas mengenai gambaran atau keadaan kesejahteraan subjektif mahasiswa dimasa pandemi Covid-19 dengan menggunakan pendekatan kuantitatif deskriptif. Partisipan penelitian ini melibatkan 112 mahasiswa yang tersebar pada delapan pulau di Indonesia, dan diambil melalui teknik accidental sampling.  Instrumen penelitian menggunakan Satisfaction With Life Scale (SWLS) dan Positive and Negative Affect Scale (PANAS). Analisis data menggunakan analisis kuantitaif deskriptif univariat. Hasil penelitian menunjukkan bahwa  responden dalam penelitian ini (N = 112) paling banyak memiliki skor kesejahteraan subjektif pada kategori sedang (53,6%), rendah (17.9%), dan tinggi (28.6%). Hasil ini menunjukkan bahwa banyak mahasiswa yang mengevaluasi kehidupannya cukup positif, yaitu merasa cukup puas dengan kehidupannya serta seimbang dalam merasakan emosi positif dan negatif. Selain itu, mayoritas mahasiswa berada dikategori sedang pada dimensi life satisfaction (53,6%), kategori tinggi pada dimensi domain satisfaction (64,3%), kategori tinggi pada dimensi positive affect (54,5%), pada dimensi negative affect mayoritas berada pada kategori sedang dan rendah dengan prosentase yang sama (36,6%). Penelitian ini diharapkan mampu memberikan informasi ilmiah sebagai landasan untuk program pemberdayaan mahasiswa agar lebih tangguh dan adaptif selama dan pasca pandemi Covid-19.

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