Health and Well-Being

The goal of this chapter is to show how a sense of meaning in life acts in concert with the dimensions of religion that have been discussed so far to affect health. The discussion that follows is divided into two sections. The extensive body of research that links meaning with health and well-being is examined first. Following this, three submodels are introduced that provide further insight into how meaning in life might affect health. The first submodel brings gratitude and prayer to the foreground. The second submodel focuses on the relationships among meaning in life, proactive coping responses, and health behavior. The third submodel brings issues involving the interface between meaning in life, negative aspects of religious life (e.g., religious doubt), and health-related outcomes.

Roles of Oxytocin in Stress Responses, Allostasis and Resilience

Oxytocin has been revealed to work for anxiety suppression and anti-stress as well as for psychosocial behavior and reproductive functions. Oxytocin neurons are activated by various stressful stimuli. The oxytocin receptor is widely distributed within the brain, and oxytocin that is released or diffused affects behavioral and neuroendocrine stress responses. On the other hand, there has been an increasing number of reports on the role of oxytocin in allostasis and resilience. It has been shown that oxytocin maintains homeostasis, shifts the set point for adaptation to a changing environment (allostasis) and contributes to recovery from the shifted set point by inducing active coping responses to stressful stimuli (resilience). Recent studies have suggested that oxytocin is also involved in stress-related disorders, and it has been shown in clinical trials that oxytocin provides therapeutic benefits for patients diagnosed with stress-related disorders. This review includes the latest information on the role of oxytocin in stress responses and adaptation.

Public Emotional and Coping Responses to the COVID-19 Infodemic: A Review and Recommendations

Since its onset in early 2020, the coronavirus disease 2019 (COVID-19) pandemic has adversely affected not only the physical but also the mental health of people worldwide. Healthcare professionals and laypersons have sought to learn more about this novel and highly transmissible disease to better understand its etiology, treatment, and prevention. However, information overload and misinformation related to COVID-19 have elicited considerable public anxiety and created additional health threats. Collectively, these problems have been recognized by the World Health Organization as an “infodemic.” This review provides an overview of the global challenges posed by the COVID-19 infodemic, and used the psychological entropy model as a guiding framework to explicate the potential causes of the infodemic and identify potential solutions to mitigate impacts on public health. We first examine the role of anxiety in information processing and then delineate the adverse impacts of the infodemic. Finally, we propose strategies to combat the infodemic at the public, community, and individual levels.

Exploring Specialist Palliative Care Practitioner Perspectives on the Face Validity of the Attitude to Health Change Scales in Assessing the Impact of Life-limiting Illness on Patients and Carers

Background: Identifying and assessing vulnerability and resilience through reflexive reactions and conscious coping responses to life-limiting illness is an important, but rarely assessed, component of care. The novel Attitude to Health Change scales can contribute to this, but require fuller development and testing. Objectives: Exploring face validity of the Attitude to Health Change Scales (patient and carer versions) from the perspective of specialist palliative care professionals. Design: A two-stage study: (i) focus groups to explore experiences of scale use and wording, (ii) online survey to gather preferences on possible scale modifications. Focus group data were analysed using framework analysis. A hermeneutic approach was used to modify the wording of the scales, ensuring adherence to the underpinning concepts used in the design of the scale, congruence with the palliative care context, and simplicity of language. Setting/Subjects: Specialist palliative care practitioners in UK hospice settings who had been involved in pilot use of the scales in clinical practice. Results: 21 practitioners participated in 3 focus groups across 3 UK hospice sites, 9 of those participants responded to the survey. Four themes are presented: the importance and distinctiveness of the scales; maintaining conceptual integrity; ensuring a palliative care focus; and ensuring linguistic clarity. New iterations of the patient and carer versions of the Attitude to Health Change scales were developed. Conclusion: The scales appear to reflect the intended theoretical constructs, and are worded in a way which is congruent with the experience of specialist palliative care practitioners.

Components of Unrealistic Optimism of College Students: The Case of the COVID-19 Pandemic

College students are among the most strongly affected populations by the coronavirus disease-2019 (COVID-19) pandemic because of uncertainty regarding academic success, future careers, and social life during their study period. Their mental health and behavior may dramatically be impacted. The study examined an unrealistic optimism of Israeli college students in assessing the health, security, and economic risks during the pandemic, and the contributions of these perceived risks to the prediction of psychological coping responses, such as well-being, and coping suppressing response of anxiety, expressed during this pandemic. Using social networks, a questionnaire was disseminated to students during the third lockdown that was implemented in Israel because of the pandemic. Depressive and anxiety symptoms, perceived threats, resilience, well-being, hope, and morale were measured using a structured quantitative questionnaire. First, we hypothesized that the three perceived risks would be inversely rated, so perceived health risk would be rated lowest, and perceived economic risk would be rated highest. The second and third hypotheses claimed that psychological coping responses articulated along this pandemic would be predicted by all these perceived risks, as well as the observance of pandemic precaution rules. The fourth hypothesis suggested that the three investigated perceived risks will positively and significantly correlate with each other. The results generally supported the hypotheses and indicated that the unrealistic optimism process was employed quite consistently by the participating students.

Investigating the Impact of Isolation During COVID-19 on Family Functioning – An Australian Snapshot

This study explored possible changes in family functioning from the perspective of parents during the COVID-19 pandemic. Thirty-four parents/guardians of children under 18 years completed a semi-structured interview, average length 47 min. Interviews focussed on changes in different aspects of family functioning including family roles, routines, and rules; parenting practices; communication and relationships; and strengths, challenges, and tensions. Data were analysed using reflexive thematic analysis applied in an idiographic and inductive manner to reduce the loss of individual experiences and perspectives. Four superordinate themes were identified: shifting family roles and boundaries throughout the pandemic; impacts on routines and relationships; opportunities and resourcing; and, experiences of support and unity. Gender differences were evident across some themes, particularly changing roles, workload and work-home boundaries. Challenges and tensions were frequently highlighted, particularly by “vulnerable” family groups such as those with children with disabilities. Parents also described a renewed sense of family and community that underpinned adaptive coping responses. The results highlight the importance of family connectedness in times of need.

Machismo and Caballerismo Linked with Perceived Social Discrimination and Powerlessness in U.S. Latino Men

Concepts from the Threat Appraisal and Coping Theory, Precarious Manhood Theory, and Ambivalent Sexism suggest that U.S. Latino men who perceive social discrimination and powerlessness may respond with machismo beliefs that serve as coping responses to empower themselves and reassert their manhood. Machismo beliefs include both aggressive “traditional machismo” and gentlemanly family-focused “caballerismo.” Because past research has revealed that individuals respond to social abuse with anger, prompting them to feel empowered but less empathetic, we hypothesized that Latino men who perceive social discrimination combined with a sense of powerlessness would report more traditional machismo and less caballerismo. We also hypothesized that this three-variable sequence would be stronger for men with high rather than low in Latino identity, since discrimination would be a more personal threat to their identity and manhood. Participants included 1,530 U.S. Latinos who completed online surveys to report demographics (age, education, employment, sexual orientation, partner status, household size), perceived social discrimination, powerlessness, traditional machismo, caballerismo, and Latino identity. Mediational analyses confirmed the three-variable sequence in which powerlessness mediated associations between social discrimination and (more) aggressive machismo, and (less) gentlemanly caballerismo. Also as hypothesized, moderated mediational analysis revealed that these three-variable sequences were stronger for men with high rather than low Latino identity. With recent increases in social discrimination against U.S. Latinos, present results caution that men may respond to these challenges with increased aggressive patterns of traditional machismo.

Self-Care Theory and Translation to Intervention

Self-care is defined as a process of maintaining health through health promoting practices and managing illness when it occurs. Self-care is integral in the management of chronic conditions, but even those without illness engage in some level of self-care daily. In our on-going study we promote self-care as a means to control the stress associated with caregiving. We acknowledge the burden of caregiving for a loved one experiencing a serious chronic illness. That responsibility is typically associated with significant stress for the caregiver. We use stress theory to address the caregivers’ appraisal of events and coping responses. Three experienced health coaches were hired to provide 10 sessions of coaching over a 6-month period to each of the caregivers randomized to the intervention group. The emphasis of the iCare4Me coaching sessions is to address primary and secondary appraisal and coping as a means to improve self-care and thereby decrease stress.