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Theron LC, Cockcroft K, Annalakshmi N, Rodgers JG, Akinduyo TE, Fouché A. Emerging Adult Resilience to the Early Stages of the COVID-Pandemic: A Systematic Scoping Review. Child Psychiatry Hum Dev 2023:10.1007/s10578-023-01585-y. [PMID: 37698747 DOI: 10.1007/s10578-023-01585-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 08/08/2023] [Indexed: 09/13/2023]
Abstract
Human resilience to COVID-19 related stressors remains a pressing concern following the aftereffects of the pandemic and in the face of probable future pandemics. In response, we systematically scoped the available literature (n = 2030 records) to determine the nature and extent of research on emerging adults' adaptive responses to COVID-19 stressors in the early stages of the pandemic. Using a multisystem resilience framework, our narrative review of 48 eligible studies unpacks the personal, relational, institutional and/or physical ecological resources that enabled positive emerging adult outcomes to COVID-18 stressors. We found that there is a geographical bias in studies on this topic, with majority world contexts poorly represented. Resources leading to positive outcomes foregrounded psychological and social support, while institutional and ecological supports were seldom mentioned. Multisystemic combinations of resources were rarely considered. This knowledge has valuable implications for understanding resilience in the context of other large-scale adverse conditions.
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Affiliation(s)
- L C Theron
- Department of Educational Psychology, University of Pretoria, Pretoria, South Africa.
- Faculty of Education, University of Pretoria, Groenkloof Campus, Pretoria, 0002, South Africa.
| | - K Cockcroft
- Department of Psychology, School of Human and Community Development, University of the Witwatersrand, Johannesburg, South Africa
| | - N Annalakshmi
- Psychology Department, Bharathiar University, Coimbatore, India
| | - J G Rodgers
- Department of Psychology, School of Health Sciences, North-West University, Vanderbijlpark, South Africa
| | - T E Akinduyo
- Department of Educational Psychology, University of Pretoria, Pretoria, South Africa
| | - A Fouché
- Department of Social Wellbeing, United Arab Emirates University, Al Ain, United Arab Emirates
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Laidra K, Reile R, Havik M, Leinsalu M, Murd C, Tulviste J, Tamson M, Akkermann K, Kreegipuu K, Sultson H, Ainsaar M, Uusberg A, Rahno J, Panov L, Leetmaa K, Aasa A, Veidebaum T, Lehto K, Konstabel K. Estonian National Mental Health Study: Design and methods for a registry-linked longitudinal survey. Brain Behav 2023; 13:e3106. [PMID: 37278143 PMCID: PMC10454261 DOI: 10.1002/brb3.3106] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/21/2022] [Revised: 04/02/2023] [Accepted: 05/17/2023] [Indexed: 06/07/2023] Open
Abstract
OBJECTIVES The Estonian National Mental Health Study (EMHS) was conducted in 2021-2022 to provide population-wide data on mental health in the context of COVID-19 pandemic. The main objective of this paper is to describe the rationale, design, and methods of the EMHS and to evaluate the survey response. METHODS Regionally representative stratified random sample of 20,000 persons aged 15 years and older was drawn from the Estonian Population Register for the study. Persons aged 18 years and older at the time of the sampling were enrolled into three survey waves where they were invited to complete an online or postal questionnaire about mental well-being and disorders, and behavioral, cognitive, and other risk factors. Persons younger than 18 years of age were invited to fill an anonymous online questionnaire starting from wave 2. To complement and validate survey data, data on socio-demographic, health-related, and environmental variables were collected from six national administrative databases and registries. Additionally, a subsample was enrolled into a validation study using ecological momentary assessment. RESULTS In total, 5636 adults participated in the survey wave 1, 3751 in wave 2, and 4744 in wave 3. Adjusted response rates were 30.6%, 21.1%, and 27.6%, respectively. Women and older age groups were more likely to respond. Throughout the three survey waves, a considerable share of adult respondents screened positive for depression (27.6%, 25.1%, and 25.6% in waves 1, 2, and 3, respectively). Women and young adults aged 18 to 29 years had the highest prevalence of depression symptoms. CONCLUSIONS The registry-linked longitudinal EMHS dataset comprises a rich and trustworthy data source to allow in-depth analysis of mental health outcomes and their correlates among the Estonian population. The study serves as an evidence base for planning mental health policies and prevention measures for possible future crises.
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Affiliation(s)
- Kaia Laidra
- Department of Epidemiology and BiostatisticsNational Institute for Health DevelopmentTallinnEstonia
| | - Rainer Reile
- Department of Epidemiology and BiostatisticsNational Institute for Health DevelopmentTallinnEstonia
| | - Merle Havik
- Department of Chronic DiseasesNational Institute for Health DevelopmentTallinnEstonia
| | - Mall Leinsalu
- Department of Epidemiology and BiostatisticsNational Institute for Health DevelopmentTallinnEstonia
- Stockholm Centre for Health and Social ChangeSödertörn UniversityHuddingeSweden
| | - Carolina Murd
- Department of Chronic DiseasesNational Institute for Health DevelopmentTallinnEstonia
| | - Jaan Tulviste
- Department of Chronic DiseasesNational Institute for Health DevelopmentTallinnEstonia
| | - Merili Tamson
- Department of Drugs and Infectious Diseases EpidemiologyNational Institute for Health DevelopmentTallinnEstonia
| | | | | | | | - Mare Ainsaar
- Institute of Social StudiesUniversity of TartuTartuEstonia
| | | | - Jaana Rahno
- Department of Chronic DiseasesNational Institute for Health DevelopmentTallinnEstonia
| | - Liisi Panov
- Department of Health StatisticsNational Institute for Health DevelopmentTallinnEstonia
| | - Kadri Leetmaa
- Department of GeographyUniversity of TartuTartuEstonia
| | - Anto Aasa
- Department of GeographyUniversity of TartuTartuEstonia
| | - Toomas Veidebaum
- Department of Chronic DiseasesNational Institute for Health DevelopmentTallinnEstonia
| | - Kelli Lehto
- Estonian Genome Centre, Institute of GenomicsUniversity of TartuTartuEstonia
| | - Kenn Konstabel
- Department of Chronic DiseasesNational Institute for Health DevelopmentTallinnEstonia
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Budrevičiūtė A, Raila G, Paukštaitienė R, Valius L. An analysis of the causes of exhaustion among physicians working in family physician teams during the COVID-19 pandemic in Lithuania. PLoS One 2022; 17:e0274360. [PMID: 36301891 PMCID: PMC9612553 DOI: 10.1371/journal.pone.0274360] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2022] [Accepted: 08/25/2022] [Indexed: 11/06/2022] Open
Abstract
Background The COVID-19 pandemic had a severe impact on public life around the world, influencing medicine and health, the economy, employment, science, and education. Health care specialists are key workers who faced extreme challenges posed by the pandemic, including threats to their own lives due to the rapid spread of the virus, a huge increase in workload, and professional burnout syndrome. Analysis of the factors that physicians found most exhausting during the pandemic could lay the groundwork for the effective management of future crises. Objective To identify the factors that physicians working in family physician (family and internal medicine) teams found most exhausting during the COVID-19 pandemic in Lithuania and assess their causes. Methods An anonymous survey of physicians (n = 191) working in family physician teams was carried out from 21 June 2021 to 17 September 2021. Physicians signed an informed consent form prior to completion of the questionnaire. Mixed data analysis was performed, consisting of statistical analysis using the SPSS 27 software and a qualitative causal analysis. Results During the pandemic, physicians were most exhausted by: chaotic vaccination priorities (44.5%); unsatisfied patients (52.4%); constantly changing legislation (71.7%); the large workload (75.9%); and the malfunctioning of online systems (81.2%). Conclusions Physicians in family physician teams indicated the following aspects that require improvement: service provision; effective work organization for physicians; and the satisfaction of patients with decisions made during the pandemic.
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Affiliation(s)
- Aida Budrevičiūtė
- Independent Scientist, Chief Researcher of the Biomedical Study “Challenges of COVID-19 in Family Medicine”, Vilnius, Lithuania
- * E-mail:
| | - Gediminas Raila
- Department of Family Medicine, Department of Family Medicine, Lithuanian University of Health Sciences, Kaunas, Lithuania
| | - Renata Paukštaitienė
- Department of Physics, Mathematics, and Biophysics, Lithuanian University of Health Sciences, Medical Academy, Kaunas, Lithuania
| | - Leonas Valius
- Department of Family Medicine, Department of Family Medicine, Lithuanian University of Health Sciences, Kaunas, Lithuania
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Erdoğan T, Bayraktar Y, Uçan F, Atilgan SS. The effect of perceived stress on organizational silence in emergency service doctors in Turkey: The mediating role of emotional intelligence. Front Public Health 2022; 10:1010827. [PMID: 36388310 PMCID: PMC9644025 DOI: 10.3389/fpubh.2022.1010827] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2022] [Accepted: 10/03/2022] [Indexed: 01/27/2023] Open
Abstract
Objectives The purpose of this study is to determine the role of emotional intelligence in the relationship between the stress perceptions of emergency medicine doctors and their organizational silence behaviors. Methods Data were collected digitally from 434 doctors working in emergency departments in Turkey. On the assumption that perceived stress was effective on organizational silence behavior and that emotional intelligence mediates this relationship, hypotheses were developed and a mediating effect model was established. The research model and hypotheses were shaped through Structural Equation Modeling (SEM). Hayes 4th model was used to test the research hypotheses. The research model was tested via SPSS Process v4.1 by Andrew F. Hayes. Results According to the correlation analysis to determine the relationship between the variables, it was determined that perceived stress was positively correlated with organizational silence behavior, emotional intelligence was negatively correlated with perceived stress, and emotional intelligence was negatively correlated with organizational silence. As a result of the mediating effect model test, it was determined that emotional intelligence had a statistically significant mediating effect in the effect of perceived stress on organizational silence. Conclusion Within the framework of the findings, it is thought that emotional intelligence is a key variable in turning the negative energy between stress and silence into positive.
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Affiliation(s)
- Taskin Erdoğan
- Faculty of Communication, Atatürk University, Erzurum, Turkey,*Correspondence: Taskin Erdoğan
| | | | - Fatih Uçan
- Faculty of Economics and Administrative Sciences, Atatürk University, Erzurum, Turkey
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Tamson M, Reile R, Sokurova D, Innos K, Nurk E, Laidra K, Vorobjov S. Health-Related Quality of Life and Its Socio-Demographic and Behavioural Correlates during the COVID-19 Pandemic in Estonia. Int J Environ Res Public Health 2022; 19:9060. [PMID: 35897422 DOI: 10.3390/ijerph19159060] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/27/2022] [Revised: 07/17/2022] [Accepted: 07/22/2022] [Indexed: 11/20/2022]
Abstract
The aim of the study was to analyse health-related quality of life (HRQoL) among the Estonian general population and its socio-demographic and behavioural correlates during the COVID-19 pandemic. Longitudinal data on 1781 individuals from an Estonian rapid-assessment survey on COVID-19 were used. HRQoL was assessed with the EQ-5D-3L in June 2020 (baseline) and in May 2021 (follow-up). The HRQoL index score and its socio-demographic and behavioural variations were analysed using paired t-tests and Tobit regression modelling. Statistically significant declines in mean EQ-5D index scores were observed for all socio-demographic and behavioural variables considered. Most of these changes were due to increased reporting of problems in the pain/discomfort and anxiety/depression health domains. Older age, being unemployed or economically non-active and having financial difficulties were significantly associated with lower HRQoL in both baseline and follow-up measurements. In the follow-up data, women had significantly lower HRQoL compared to men, whereas higher education proved to be the only protective factor regarding HRQoL. Unhealthy dietary habits and low physical activity had a negative impact on the HRQoL score in the follow-up data. These results indicate that the COVID-19 pandemic has had a substantial impact on HRQoL in the Estonian population.
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Tacchini-Jacquier N, Bonvin E, Monnay S, Verloo H. Perceived stress, trust, safety and severity of SARS-CoV-2 infection among patients discharged from hospital during the COVID-19 pandemic's first wave: a PREMs survey. BMJ Open 2022; 12:e060559. [PMID: 35710249 PMCID: PMC9207576 DOI: 10.1136/bmjopen-2021-060559] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
AIM To investigate experiences of stress, feelings of safety, trust in healthcare staff and perceptions of the severity of a SARS-CoV-2 infection among inpatients discharged from Valais Hospital, Switzerland, during the COVID-19 pandemic's first wave. METHODS Discharged patients aged 18 years or more (n=4665), hospitalised between 28 February and 11 May 2020, whether they had been infected by SARS-CoV-2 or not, were asked to complete a self-reporting questionnaire, as were their informal caregivers, if available (n=866). Participants answered questions from Cohen's Perceived Stress Scale (PSS) (0=no stress, 40=severe stress), Krajewska-Kułak et al's Trust in Nurses Scale and Anderson and Dedrick's Trust in Physician Scale (10=no trust, 50=complete trust), the severity of a SARS-CoV-2 infection (1=not serious, 5=very serious), as well as questions on their perceived feelings of safety (0=not safe, 10=extremely safe). RESULTS Of our 1341 respondents, 141 had been infected with SARS-CoV-2. Median PSS score was 24 (IQR1-3=19-29), median trust in healthcare staff was 33 (IQR1-3=31-36), median perceived severity of a SARS-CoV-2 infection was 4 (IQR1-3=3-4) and the median feelings of safety score was 8 (IQR1-3=8-10). Significant differences were found between males and females for PSS scores (p<0.001) and trust scores (p<0.001). No significant differences were found between males and females for the perceived severity of SARS-CoV-2 infection scores (p=0.552) and the feelings of safety (p=0.751). Associations were found between age and trust scores (Rs=0.201), age and perceived SARS-CoV-2 severity scores (Rs=0.134), sex (female) and perceived stress (Rs=0.114), and sex (female) and trust scores (Rs=0.137). Associations were found between SARS-CoV-2 infected participants and the perceived SARS-CoV-2 severity score (Rs=-0.087), between trust scores and feelings of safety (Rs=0.147), and perceived severity of a SARS-CoV-2 infection (Rs=0.123). DISCUSSION The results indicated that inpatients experienced significant feelings of stress regarding perceived symptoms of the illness, yet this did not affect their feelings of safety, trust in healthcare staff or perception of the severity of SARS-CoV-2 infection. Future patient-reported experience measures research is needed to give a voice to healthcare users and facilitate comparison measures internationally.
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Affiliation(s)
| | - Eric Bonvin
- General Direction, Valais Hospital, Sion, Switzerland
| | | | - Henk Verloo
- Department of Nursing, Haute Ecole Specialisee de Suisse Occidentale, Delemont, Switzerland
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Yiakoulaki M, Tsiobani E, Galliou CI, Papaspyropoulos K. The effects of restrictive measures due to the COVID-19 pandemic on the extensive farming system of small ruminants. Arch Anim Breed 2022; 65:157-169. [PMID: 35529319 PMCID: PMC9069180 DOI: 10.5194/aab-65-157-2022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2021] [Accepted: 03/28/2022] [Indexed: 11/14/2022] Open
Abstract
Vigorous restrictive measures were imposed worldwide to control the spread of the COVID-19 pandemic. However, the effects those measures had on
livestock production systems have not yet been sufficiently clarified. The literature has focused mainly on the impact of COVID-19 on the intensive
livestock production system, especially the meat and milk supply chain, as well as the welfare of animals, highlighting its fragility, but
failed to address the way the restrictive measures affected the extensive farming system of small ruminants. In this study, we aimed to investigate
the effect of the restrictive measures during the first wave of the COVID-19 pandemic on the parameters of sheep and goat extensive farming
systems. We used a survey and personal interviews to record the breeders' profile and the structural characteristics of the holdings, and we showed
that the restrictive measures had no effect on the parameters of small ruminant extensive farming systems, except for the daily work routine of
breeders, which was negatively affected in holdings with a high number of sheep. We expect this study to be helpful to policy makers regarding
formulating interventions for the resilience and the stability of the sheep and goat extensive farming system in future situations of emergency.
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Affiliation(s)
- Maria D. Yiakoulaki
- Department of Forestry and Natural Environment, Faculty of Agriculture, Forestry and Natural Environment, Aristotle University of Thessaloniki, Thessaloniki, 54124, Greece
| | - Eleni T. Tsiobani
- Department of Forestry and Natural Environment, Faculty of Agriculture, Forestry and Natural Environment, Aristotle University of Thessaloniki, Thessaloniki, 54124, Greece
| | | | - Konstantinos G. Papaspyropoulos
- Department of Forestry and Natural Environment, Faculty of Agriculture, Forestry and Natural Environment, Aristotle University of Thessaloniki, Thessaloniki, 54124, Greece
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