scholarly journals Post-COVID-19 Epidemic: Allostatic Load among Medical and Nonmedical Workers in China

2020 ◽  
pp. 1-10
Author(s):  
Mao Peng ◽  
Li Wang ◽  
Qing Xue ◽  
Lu Yin ◽  
Bo-heng Zhu ◽  
...  
Keyword(s):  
Risk Factors ◽  
Social Support ◽  
Allostatic Load ◽  
Conditional Logistic Regression ◽  
Well Being ◽  
Demographic Variables ◽  
Illness Behavior ◽  
Online Study ◽  
Abnormal Illness Behavior ◽  
Chinese Subjects

<b><i>Background:</i></b> As the fight against the COVID-19 epidemic continues, medical workers may have allostatic load. <b><i>Objective:</i></b> During the reopening of society, medical and nonmedical workers were compared in terms of allostatic load. <b><i>Methods:</i></b> An online study was performed; 3,590 Chinese subjects were analyzed. Socio-demographic variables, allostatic load, stress, abnormal illness behavior, global well-being, mental status, and social support were assessed. <b><i>Results:</i></b> There was no difference in allostatic load in medical workers compared to nonmedical workers (15.8 vs. 17.8%; <i>p</i> = 0.22). Multivariate conditional logistic regression revealed that anxiety (OR = 1.24; 95% CI 1.18–1.31; <i>p</i> &#x3c; 0.01), depression (OR = 1.23; 95% CI 1.17–1.29; <i>p</i> &#x3c; 0.01), somatization (OR = 1.20; 95% CI 1.14–1.25; <i>p</i> &#x3c; 0.01), hostility (OR = 1.24; 95% CI 1.18–1.30; <i>p</i> &#x3c; 0.01), and abnormal illness behavior (OR = 1.49; 95% CI 1.34–1.66; <i>p</i> &#x3c; 0.01) were positively associated with allostatic load, while objective support (OR = 0.84; 95% CI 0.78–0.89; <i>p</i> &#x3c; 0.01), subjective support (OR = 0.84; 95% CI 0.80–0.88; <i>p</i> &#x3c; 0.01), utilization of support (OR = 0.80; 95% CI 0.72–0.88; <i>p</i> &#x3c; 0.01), social support (OR = 0.90; 95% CI 0.87–0.93; <i>p</i> &#x3c; 0.01), and global well-being (OR = 0.30; 95% CI 0.22–0.41; <i>p</i> &#x3c; 0.01) were negatively associated. <b><i>Conclusions:</i></b> In the post-COVID-19 epidemic time, medical and nonmedical workers had similar allostatic load. Psychological distress and abnormal illness behavior were risk factors for it, while social support could relieve it.

scholarly journals To Associate Between Social Adaptive Behavior and Socio Demographic Variables among Children with Chronic Illness

2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Mridula. C. Jobson ◽  
Dr. R. Subhashini
Keyword(s):  
Risk Factors ◽  
Chronic Illness ◽  
Social Behavior ◽  
Behavior Problems ◽  
Adaptive Behavior ◽  
Demographic Factors ◽  
Well Being ◽  
Demographic Variables ◽  
The Social ◽  
Socio Demographic Factors

Back Ground: Chronic Illness is disorders or diseases that compromise well-being, either temporarily or chronically. These conditions are risk factors for Social behavior problem. Analyzing the prevalence of Social behavior problems of children with chronic illness and identifying related risk factors is of theoretical and practical relevance. It helps to understand psychosocial consequences of chronic diseases and provides valuable information for clinicians regarding who should be screened for what kind of problems. There are various factors that influence the social adaptive behavior of the child with chronic illness. Identification of association of demographic variable shall provide the underlying associated causes for such behavioral problem. Aim and Objective: This study analyses the association of socio-demographic factors and social adaptive behavior problems of pediatrics with chronic illness. Samples and Methods: The study was carried out in 90 pediatric patients in MMM hospital between age group 1 to 6 years. The samples were selected through convenient sampling technique. The Tool used for data collection and assessment of social maturity level is Semi structured questionnaire which include. Section A: Socio demographic profile and Section B: The Child Behavior Checklist (CBCL) A parent-report questionnaire. Result: The association between the social adaptive behavior problems and demographic variables using chi square test reveals that socio demographic variables such as economic factors and medical condition have significant association with the behavior of the child. Conclusion: The preliminary study concludes the association between the socio demographic factors and behavior. This particularly emphasizes on multidimensional   assessment and treatment.

A Comparative Study of Life-Closing Spirituality in Home Hospice Patients

2005 ◽  
Vol 19 (3) ◽  
pp. 243-256 ◽  
Author(s):  
Marjorie C. Dobratz
Keyword(s):  
Social Support ◽  
Physical Function ◽  
Secondary Analysis ◽  
Well Being ◽  
Demographic Variables ◽  
Psychological Well Being ◽  
Hospice Patients ◽  
Pain Reports ◽  
Spirituality Group ◽  
Pain Rating Index

This secondary analysis compared two groups of home hospice patients (expressed spirituality,N= 44, and nonexpressed spirituality,N= 53) on psychological well-being and adaptation, social support, physical function, pain, and demographic variables. Independent-samplesttests found no significant differences atp< .05 for age, psychological well-being and adaptation, social support, and physical function. Three components of the McGill-Melzack Pain Questionnaire were significantly higher for the nonexpressed spirituality group: Affective Dimension, Pain Rating Index, and Number of Words Chosen. A comparative analysis of two groups of home hospice patients supported higher pain reports as significant indicators of nonexpressed spirituality in a home hospice population.

scholarly journals Cohort profile: social well-being and determinants of health study (SWADES), Kerala, India

BMJ Open ◽  
2020 ◽  
Vol 10 (3) ◽  
pp. e032803 ◽  
Author(s):  
Saju M D ◽  
Lovakanth Nukala ◽  
Rameela Shekhar ◽  
Keith Gomez ◽  
Bindiya M Varghese ◽  
...  
Keyword(s):  
Risk Factors ◽  
Social Support ◽  
Chronic Diseases ◽  
Common Mental Disorders ◽  
Data Access ◽  
Well Being ◽  
Determinants Of Health ◽  
Support Network ◽  
Health Study

PurposeIn response to the need for more advanced and longitudinal data concerning chronic diseases, behavioural risk factors and social support systems in India, the SWADES (Social Well-being and Determinants of Health Study) was established.ParticipantsAt baseline, 997 adults aged 30 years and over, living in the semi-urban area were interviewed in their home.Findings to dateData collected included self-reports of demographic details, health, depression, morbid conditions and healthcare utilisation, risk factors (physical, behavioural and social) of chronic diseases, common mental disorders, out-of-pocket expenditure, social support network, social cohesion, disability, education and wealth. Objective data for hypertension, diabetes and cognitive function were also collected.Future plansThe first annual follow-up interviews were completed in 2019; the subsequent annual follow-up will be conducted until 2030. The SWADES data are held at the International Centre for Consortium Research in Social Care (ICRS), Rajagiri College of Social Science, Kerala, India. Procedures for data access, information on collaborations, publications and other details can be found at (http://icrs.in).

scholarly journals Stress, Anxiety, and Depression for Chinese Residents in Japan during the COVID-19 Pandemic

2021 ◽  
Vol 18 (9) ◽  
pp. 4958
Author(s):  
Qin Hu ◽  
Maki Umeda
Keyword(s):  
Risk Factors ◽  
Social Support ◽  
Disaster Preparedness ◽  
Online Survey ◽  
Psychological Symptoms ◽  
Well Being ◽  
Protective Role ◽  
Anxiety And Depression ◽  
Positive Effects

The coronavirus disease 2019 (COVID-19) has profoundly affected the psychological well-being of foreign residents. This study examines stress, anxiety, and depression levels in Chinese residents in Japan during the COVID-19 pandemic. It identifies risk factors and the roles of disaster preparedness and social support. An online survey among Chinese residents in Japan was conducted from 22 June to 14 July 2020. The Depression, Anxiety and Stress Scale, Disaster Preparedness for Resilience Checklist, and Social Support Rate Scale were used to measure psychological symptoms. Multivariable linear regressions identified the risk factors and positive effects of disaster preparedness and social support. Of the total 497 participants, 45.3%, 66.6%, and 54.3% reported severe stress, anxiety, and depressive symptoms, respectively. People with a lower level of education, a higher level of economic influence, the presence of COVID-19 symptoms, and confirmed or suspected family or friends in China were associated with higher levels of stress, anxiety, and depression. This study, to the best of our knowledge, is the first survey to reveal the protective role of disaster preparedness in reducing psychological symptoms during the pandemic. It offers unique data for further research on how to promote the mental health of vulnerable populations including foreign residents.

Risk factors for depression in older adults in Bogotá, Colombia

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Ana María Salazar ◽  
María Fernanda Reyes ◽  
María Paula Gómez ◽  
Olga Pedraza ◽  
Angela Gisselle Lozano ◽  
...  
Keyword(s):  
Risk Factors ◽  
Social Support ◽  
Functional Dependence ◽  
Previous History ◽  
Depression Scale ◽  
Well Being ◽  
Short Version ◽  
Content Type ◽  
Older Adulthood ◽  
Depressive Episodes

Purpose This paper aims to identify psychosocial, demographic and health risk factors associated with depression in older people. Design/methodology/approach A correlational study with 281 independent and autonomous persons of the community over 60 years old from Bogotá was conducted. The three instruments used to measure the variables included in the data analyses were Demographic and Health Data Questionnaire, Short version of 15 items of Geriatric Depression Scale (GDS) and Montreal Cognitive Assessment Test (MoCA). Findings Fifteen percent of the participants presented depression. Depression was associated with different demographic, low social support and health factors in this population group and was particularly high in women. Being a woman with poor social support networks and a previous history of depressive episodes should be considered as determining factors within a clinical risk profile for depression in older adulthood. It is essential to design prevention strategies focused on women and on the development of better social support in old age. Originality/value Depression is a prevalent and highly disabling disease, when it is suffered by an older person it is associated with higher mortality, functional dependence, poor physical health, worse quality of life indicators and psychological well-being. In the elderly, the clinical diagnosis of depression is difficult, as it has a high comorbidity and is often confused with other health conditions prevalent during older adulthood.

scholarly journals DEPRESSION IN CAREGIVERS OF VETERANS: THE INTERACTION OF PERCEIVED SOCIAL SUPPORT AND AGE

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S487-S487
Author(s):  
Monica Scicolone ◽  
Patricia A Parmelee
Keyword(s):  
Social Support ◽  
Family Caregivers ◽  
Perceived Social Support ◽  
Demographic Variable ◽  
Secondary Data ◽  
Well Being ◽  
Demographic Variables ◽  
Department Of Veterans Affairs ◽  
Moderating Effects ◽  
Positive Social Interaction

Abstract Caregiving is a risk factor for increased psychological stress and depression (Pinquart & Sörensen, 2003). Perceived social support (PSS) is strongly associated with emotional well-being and, for informal family caregivers, may be an important predictor of caregiver psychological outcomes. Although much is known about the effects of global PSS, there is a gap in research regarding numerous identified functional dimensions of support, particularly among family caregivers. Thus, this secondary data analysis examined how dimensions of PSS predict depression, and the moderating effects of age on this relationship, utilizing data from 240 family caregivers of elderly veterans receiving outpatient care at the Atlanta VA. The analysis utilizes a multidimensional measure of PSS (Sherbourne & Stewart, 1991) with four sub scales: emotional/informational, tangible, affectionate, and positive social interaction. Preliminary OLS regression analyses, regressing depression on relevant demographic variables and PSS domains, revealed a significant overall model (p &lt; .001). All domains besides tangible support significantly predicted depression. Because age was the only demographic variable associated with depression, we tested hypotheses of an interaction of PSS and age with PROCESS macro (Hayes, 2017). Moderation analyses revealed a significant interaction of support and age on caregiver depression (p = .0145). Of unique social support dimensions, only emotional/informational social support interacted with age (p = .0075), demonstrating decreased depression at high levels of emotional/informational support, but a weaker effect for those of increased age. The original study was supported by the U.S. Department of Veterans Affairs Rehabilitation R&D Service.

Quick Reference: Chapter 1: The Musculoskeletal System: The Hand and Upper Extremity

2000 ◽  
Vol 5 (5) ◽  
pp. 4-5
Keyword(s):  
Dorsal Column ◽  
Persistent Pain ◽  
Illness Behavior ◽  
Abnormal Illness Behavior ◽  
Organ Systems ◽  
Spinal Cord Dorsal ◽  
Objective Basis ◽  
Dorsal Column Stimulation ◽  
Underlying Pathology

Abstract Spinal cord (dorsal column) stimulation (SCS) and intraspinal opioids (ISO) are treatments for patients in whom abnormal illness behavior is absent but who have an objective basis for severe, persistent pain that has not been adequately relieved by other interventions. Usually, physicians prescribe these treatments in cancer pain or noncancer-related neuropathic pain settings. A survey of academic centers showed that 87% of responding centers use SCS and 84% use ISO. These treatments are performed frequently in nonacademic settings, so evaluators likely will encounter patients who were treated with SCS and ISO. Does SCS or ISO change the impairment associated with the underlying conditions for which these treatments are performed? Although the AMA Guides to the Evaluation of Permanent Impairment (AMA Guides) does not specifically address this question, the answer follows directly from the principles on which the AMA Guides impairment rating methodology is based. Specifically, “the impairment percents shown in the chapters that consider the various organ systems make allowance for the pain that may accompany the impairing condition.” Thus, impairment is neither increased due to persistent pain nor is it decreased in the absence of pain. In summary, in the absence of complications, the evaluator should rate the underlying pathology or injury without making an adjustment in the impairment for SCS or ISO.

Conflict Avoidance in Old Age

GeroPsych ◽  
2017 ◽  
Vol 30 (2) ◽  
pp. 61-70 ◽  
Author(s):  
Lia Oberhauser ◽  
Andreas B. Neubauer ◽  
Eva-Marie Kessler
Keyword(s):  
Social Support ◽  
Perceived Social Support ◽  
Well Being ◽  
Cross Sectional Study ◽  
Conflict Avoidance ◽  
Subjective Well Being ◽  
Sectional Study ◽  
Cross Sectional ◽  
Adult Lifespan ◽  
Set Up

Abstract. Conflict avoidance increases across the adult lifespan. This cross-sectional study looks at conflict avoidance as part of a mechanism to regulate belongingness needs ( Sheldon, 2011 ). We assumed that older adults perceive more threats to their belongingness when they contemplate their future, and that they preventively react with avoidance coping. We set up a model predicting conflict avoidance that included perceptions of future nonbelonging, termed anticipated loneliness, and other predictors including sociodemographics, indicators of subjective well-being and perceived social support (N = 331, aged 40–87). Anticipated loneliness predicted conflict avoidance above all other predictors and partially mediated the age-association of conflict avoidance. Results suggest that belongingness regulation accounts may deepen our understanding of conflict avoidance in the second half of life.

Psychological Resilience Provides No Independent Protection From Suicidal Risk

Crisis ◽  
2016 ◽  
Vol 37 (2) ◽  
pp. 130-139 ◽  
Author(s):  
Danica W. Y. Liu ◽  
A. Kate Fairweather-Schmidt ◽  
Richard Burns ◽  
Rachel M. Roberts ◽  
Kaarin J. Anstey
Keyword(s):  
Risk Factors ◽  
Well Being ◽  
Current Status ◽  
Psychological Resilience ◽  
Cross Sectional ◽  
Life Project ◽  
Resilience Factors ◽  
First Time

Abstract. Background: Little is known about the role of resilience in the likelihood of suicidal ideation (SI) over time. Aims: We examined the association between resilience and SI in a young-adult cohort over 4 years. Our objectives were to determine whether resilience was associated with SI at follow-up or, conversely, whether SI was associated with lowered resilience at follow-up. Method: Participants were selected from the Personality and Total Health (PATH) Through Life Project from Canberra and Queanbeyan, Australia, aged 28–32 years at the first time point and 32–36 at the second. Multinomial, linear, and binary regression analyses explored the association between resilience and SI over two time points. Models were adjusted for suicidality risk factors. Results: While unadjusted analyses identified associations between resilience and SI, these effects were fully explained by the inclusion of other suicidality risk factors. Conclusion: Despite strong cross-sectional associations, resilience and SI appear to be unrelated in a longitudinal context, once risk/resilience factors are controlled for. As independent indicators of psychological well-being, suicidality and resilience are essential if current status is to be captured. However, the addition of other factors (e.g., support, mastery) makes this association tenuous. Consequently, resilience per se may not be protective of SI.

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