Healthcare Professionals’ Own Experiences of Domestic Violence and Abuse: A Meta-Analysis of Prevalence and Systematic Review of Risk Markers and Consequences

Background: Globally, healthcare professionals (HCPs) are increasingly asked to identify and respond to domestic violence and abuse (DVA) among patients. However, their own experiences of DVA have been largely ignored. Aim: To determine the prevalence of current and lifetime DVA victimisation among HCPs globally, and identify risk markers, consequences and support-seeking for DVA. Method: PubMed, EMBASE, PsycINFO, CINAHL ASSIA and ProQuest were searched. Studies about HCPs’ personal experience of any type of DVA from any health service/country were included. Meta-analysis and narrative synthesis were adopted. Results: Fifty-one reports were included. Pooled lifetime prevalence was 31.3% (95% CI [24.7%, 38.7%] p < .001)) and past-year prevalence was 10.4% (95% CI [5.8%, 17.9%] p <.001). Pooled lifetime prevalence significantly differed (Qb=6.96, p < .01) between men (14.8%) and women (41.8%), and between HCPs in low-middle income (64.0%) and high-income countries (20.7%) (Qb = 31.41, p <.001). Risk markers were similar to those in the general population, but aspects of the HCP role posed additional and unique risks/vulnerabilities. Direct and indirect consequences of DVA meant HCP-survivors were less able to work to their best ability. While HCP-survivors were more likely than other HCPs to identify and respond to DVA among patients, doing so could be distressing. HCP-survivors faced unique barriers to seeking support. Being unable to access support – which is crucial for leaving or ending relationships with abusive people – leaves HCP-survivors entrapped. Conclusion: Specialised DVA interventions for HCPs are urgently needed, with adaptations for different groups and country settings. Future research should focus on developing interventions with HCP-survivors.

Understanding the Impact of COVID-19 on Online Mental Health Forums

Like many of the disasters that have preceded it, the COVID-19 pandemic is likely to have a profound impact on people’s mental health. Understanding its impact can inform strategies for mitigating negative consequences. This work seeks to better understand the impacts of COVID-19 on mental health by examining how discussions on mental health subreddits have changed in the three months following the WHO’s declaration of a global pandemic. First, the rate at which the pandemic is discussed in each community is quantified. Then, volume of activity is measured to determine whether the number of people with mental health concerns has risen, and user interactions are analyzed to determine how they have changed during the pandemic. Finally, the content of the discussions is analyzed. Each of these metrics is considered with respect to a set of control subreddits to better understand if the changes present are specific to mental health subreddits or are representative of Reddit as a whole. There are numerous changes in the three mental health subreddits that we consider, r/Anxiety, r/depression, r/SuicideWatch; there is reduced posting activity in most cases, and there are significant changes in discussion of some topics such as work and anxiety. The results suggest that there is not an overwhelming increase in online mental health support-seeking on Reddit during the pandemic, but that discussion content related to mental health has changed.

Cultural differences in social support seeking: The mediating role of empathic concern

Prior research has found that East Asians are less willing than Westerners to seek social support in times of need. What factors account for this cultural difference? Whereas previous research has examined the mediating effect of relational concern, we predicted that empathic concern, which refers to feeling sympathy and concern for people in need and varies by individuals from different cultures, would promote support seeking. We tested the prediction in two studies. In Study 1, European Canadians reported higher empathic concern and a higher frequency of support seeking, compared to the Japanese participants. As predicted, cultural differences in social support seeking were influenced by empathic concern. In Study 2, both empathic concern and relational concern mediated cultural differences in support seeking. Japanese with lower empathic concern but higher relational concern were more reluctant than European Americans to seek social support during stressful times. Finally, loneliness, which was more prevalent among the Japanese than among the European Americans, was partially explained by social support seeking.

The Relationship between Social Support, Self-Efficacy and Characteristics of Women with Diabetes during Pregnancy

Background: One of the most common metabolic complications of pregnancy are carbohydrate metabolism disorders resulting in hyperglycemia. The aim of the study was the assessment of impact of socio-demographic variables on the levels of social support and self-efficacy and an investigation of whether there is and how the relationship between social support and self-efficacy is shaped in pregnant women with gestational diabetes. In this study 339 pregnant women with diabetes during pregnancy and 337 healthy pregnant women took part. Methods: The Berlin Social Support Scales (BSSS), the Generalized Self-Efficacy Scale (GSES) and a standardized interview questionnaire were used. Results: The respondents rated Perceived Instrumental Support higher (M = 3.52) than Perceived Emotional Support (M = 3.39). In contrast, Actually Received Support (M = 3.53) was rated higher compared to Support Seeking (M = 2.99) and Need for Support (M = 2.95). The mean generalized self-efficacy score was M = 31.58 in women with diabetes during pregnancy and M = 31.85 in healthy pregnant women. Conclusions: The research results obtained prove the existence of a relationship between GSES and BSSS scores. In pregnant women with diabetes and healthy pregnant women, GSES increases with an increase in perceived support. Additionally, among pregnant women with diabetes, the level of GSES increases with an increase in actually received support. However, in the case of healthy pregnant women, a lower level of need for support is associated with higher level of generalized self-efficacy.

Predictors of sexual function among men after myocardial infarction: a pilot study

Background/Aims Sexual dysfunction often persists among men who have had a myocardial infarction. While some cross-sectional and longitudinal research has been conducted, there are still no known modifiable targets for intervention. This pilot study aimed to model hypothesised predictive factors of higher sexual function in a cohort of men post myocardial infarction. Methods Using a longitudinal study design, data on sexual function, sexual fear, anxiety and depressive symptoms, and use of coping strategies were collected using the Male Sexual Function Index, Multidimensional Sexuality Questionnaire, Patient-Reported Outcomes Measurement Information System and Coping Strategy Indicator respectively. Spearman correlations were estimated to examine associations between factors at 2 weeks and 3 months following myocardial infarction. Linear regression models were conducted for sexual function while controlling for age. Results The data for 14 men were analysed. Sexual fear and use of problem-solving and support-seeking coping strategies were moderately correlated with sexual function at 3 months post myocardial infarction. Increased use of problem-solving and support-seeking coping strategies was associated with increased sexual function at 3 months. Conclusions Use of coping strategies may predict increased sexual function 3 months post myocardial infarction. However, additional studies are needed to further examine these hypothesised relationships with a larger and more diverse sample.

The relationship between active coping and hope during the COVID-19 pandemic: The mediating role of meaning in life

This study aims to examine the relationship between active coping and hope during the COVID-19 pandemic and investigate the underlying mechanism based on meaning making theory. We conducted a two-wave survey and recruited 521 Chinese adults (aged 18–65). Results show that all three active coping strategies (personal hygiene practice, support seeking, and positive reappraisal) at T1 was positively associated with T2 hope. Importantly, T2 meaning in life serves as a mediator between T1 active coping and T2 hope. Our findings suggest that active coping could be an effective approach to maintain mental health by making meaning and promoting hope.

Emotional approach coping and daily support behavior in romantic relationships

People differ in the degree to which they seek emotional support from romantic partners during times of stress. Moreover, receiving emotional support from partners is not always beneficial. Emotional approach coping (EAC)—the tendency to cope with stress by processing and expressing emotions—may play an important role in determining who seeks and who benefits from emotional support. This report used dyadic data from a two-week daily diary study ( N = 116 couples) to determine if those higher in EAC seek more emotional support, receive more emotional support, and perceive the support they receive from romantic partners as more effective than those lower in EAC. Further, we examined if these associations are stronger on days of above average perceived stress. Finally, we examined if participants higher in EAC, were more likely to benefit from receiving emotional support. Participants higher in EAC were more likely to seek emotional support from their partners. After adjusting for emotional support seeking, EAC was unrelated to receiving emotional support; however, participants higher in EAC rated the emotional support they received as more effective. Although participants reported greater individual well-being and higher relationship satisfaction on days they received emotional support from their partners, EAC did not moderate these associations. Taken together, these results suggest that people higher in EAC are more likely to experience benefits from receiving support because they seek more emotional support and report receiving more effective emotional support from their partners.