We aimed to investigate the impact of the COVID-19 pandemic on psychological symptom burden against the socioeconomic background of cancer patients using data from routine assessments before and ...during the pandemic
In this cross-sectional study, standardised assessment instruments were applied in N = 1,329 patients to screen for symptoms of anxiety, depression, post-traumatic stress, and fatigue from 2018 to 2022. Two MANOVAs with post-hoc tests were computed. First, only time was included as predictor to examine the isolated impact of the pandemic. Second, income level and education level were included as further predictors to additionally test the predictive power of socioeconomic factors
In the final model, only income had a significant impact on all aspects of psychological symptom burden, with patients with low income being highly burdened (partial η² = .01, p = .023). The highest mean difference was found for depressive symptoms (MD = 0.13, CI = 0.07; 0.19, p < .001). The pandemic had no further influence on psychological distress
Although the pandemic is a major stressor in many respects, poverty may be the more important risk factor for psychological symptom burden in cancer outpatients, outweighing the impact of the pandemic.
In recent years, reports of institutional abuse within the Catholic Church have emerged and research on the consequences on mental health is in its beginnings. In this study, we report findings on ...current mental health and resilience in a sample of adult survivors of institutional abuse (N = 185). We compared 3 groups of survivors that differed regarding their current mental health to investigate aspects of resilience, coping, and disclosure. The majority of the sample was male (76.2%), the mean age was 56.28 (SD = 9.46) years, and more than 50.0% of the sample was cohabiting/married. Most of the survivors reported severe mental health problems. Known protective factors (education, social support, age) were not associated with mental health in our sample. Our findings corroborate that institutional abuse has long‐term effects on mental health. We found that fewer emotional reactions during disclosure, task‐oriented coping, and optimism were associated with better mental health. The study was limited by a cross‐sectional design, but we conclude that the kind of institutional abuse reported is especially adverse, and thus typical protective factors for mental health do not apply. Future research should focus on intrapersonal factors and institutional dynamics to improve treatment for persons affected by institutional abuse.
Resumen
Spanish s by the Asociación Chilena de Estrés Traumático (ACET)
En los últimos años, los reportes de abuso institucional en la Iglesia Católica han emergido y la investigación de sus consecuencias en la Salud Mental se encuentra en sus comienzos. En este estudio reportamos hallazgos en la salud mental y resiliencia de una muestra de adultos sobrevivientes de abuso institucional (N = 185). Comparamos 3 grupos de sobrevivientes que diferían en su estado mental actual para investigar aspectos de resiliencia, afrontamiento y denuncia. La mayoría de la muestra fueron hombres (76.2%), con edad promedio de 56.3 años y más de 50.0% de la muestra era conviviente/casado. La mayoría de los sobrevivientes reportaron problemas mentales severos. Los factores protectores conocidos (educación, apoyo social, edad) no se asociaron a la salud mental en esta muestra. Nuestros hallazgos corroboran que el abuso institucional tiene efectos de larga duración en la salud mental. Encontramos que menores reacciones emocionales durante la denuncia, afrontamiento orientado a la tarea y optimismo se asociaron a una mejor salud mental. El estudio estuvo limitado por su diseño seccional cruzado, pero concluimos que la clase de abuso institucional aquí reportado es especialmente adverso, y por tanto, los factores protectores conocidos para salud mental no se aplican. Investigaciones futuras debieran enfocarse en los factores intrapersonales y la dinámica institucional para mejorar los tratamientos para personas afectadas de abuso institucional.
抽象
Traditional and Simplified Chinese s by AsianSTSS
標題：奧地利天主教會機構內童年受虐的成人倖存者精神健康的復原力因素。
撮要：近年不斷出現天主教會機構內虐待的報告，但精神健康結果研究尚在萌芽階段。本文報導一批機構內虐待的成人倖存者現存精神健康和復原力方面的發現(N=185)。現存精神健康情況分為三組，再對照其中復原力、應對和揭露各方面情形。樣本多為男性(76.2%)，平均56.3歲，而>50.0%為同居/已婚者。大多數人有嚴重精神問題。已知保護因素(教育水平，社交支援，年紀)未與精神健康相關。本研究發現證實機構內虐待對精神健康的深遠影響。較佳精神健康與揭露時較少情緒反應、任務導向的應對和樂觀有關係。 本研究受其橫斷面設計所限，但可總結為：機構內虐待特大傷害性，導致已知精神健康保護因素未能有效。未來研究應聚焦：自身因素和機構動態可否改進受機構內虐待人士的治療。
标题：奥地利天主教会机构内童年受虐的成人幸存者精神健康的复原力因素。
撮要：近年不断出现天主教会机构内虐待的报告，但精神健康结果研究尚在萌芽阶段。本文报导一批机构内虐待的成人幸存者现存精神健康和复原力方面的发现(N=185)。现存精神健康情况分为三组，再对照其中复原力、应对和揭露各方面情形。样本多为男性(76.2%)，平均56.3岁，而>50.0%为同居/已婚者。大多数人有严重精神问题。已知保护因素(教育水平，社交支持，年纪)未与精神健康相关。本研究发现证实机构内虐待对精神健康的深远影响。较佳精神健康与揭露时较少情绪反应、任务导向的应对和乐观有关系。 本研究受其横断面设计所限，但可总结为：机构内虐待特大伤害性，导致已知精神健康保护因素未能有效。未来研究应聚焦：自身因素和机构动态可否改进受机构内虐待人士的治疗。
The psychological sequelae of institutionalized abuse and its long-term consequences has not been systematically documented in existing literature in regarding social support once disclosure has been ...made. Reporting abuse is crucial, in particular for adult victims of childhood IA within the Catholic Church. Nevertheless, there is ongoing controversy about the benefits of disclosure. Our study examines the interaction of disclosure and subsequent social support in relation to mental health. We look into the times of disclosure, the behaviour during the disclosure to a commission as adults, different level of perceived social support, and the effect on mental health.
The data were collected in a sample of financially compensated adult survivors who experienced institutionalized abuse during their childhood, using instruments to measure perceived social support, reaction to disclosure, PTSD, and further symptoms.
High levels of perceived social support after early disclosure result in a higher level of mental health and contribute to less emotionally reactive behaviour during disclosure of past institutionalized abuse. Highly perceived levels of social support seem to play a crucial role in mental health, but this inference may be weakened by a possible interference of a lasting competence in looking for social support versus social influences.
Future research should thus disentangle perceived social support into the competence of looking for social support versus socially influenced factors to provide more clarity about the positive association of perceived social support and mental health.
The World Health Organization (WHO) International Classification of Diseases, 11th version (ICD-11), has proposed a trauma-related diagnosis of complex posttraumatic stress disorder (CPTSD) separate ...and distinct from posttraumatic stress disorder (PTSD).
To determine whether the symptoms endorsed by individuals who had experienced childhood institutional abuse form classes that are consistent with diagnostic criteria for ICD-11 CPTSD as distinct from PTSD.
A latent profile analysis (LPA) was conducted on 229 adult survivors of institutional abuse using the Brief Symptom Inventory and the PTSD Checklist-Civilian Version to assess current psychopathological symptoms.
The LPA revealed four classes of individuals: (1) a class with elevated symptoms of CPTSD (PTSD symptoms and disturbances in self-organization); (2) a class with elevated symptoms of PTSD and low disturbances in self-organization; (3) a class with elevated disturbances in self-organization symptoms and some elevated PTSD symptoms; and (4) a class with low symptoms.
The results support the existence of a distinct group in our sample, that could be described by the proposed diagnostic category termed CPTSD more precisely than by normal PTSD. In addition, there seems to be a group of persons that do not fulfill the criteria for a trauma-related disorder but yet suffer from psychopathological symptoms.
During the current COVID-19 pandemic, the people in Europe are exposed to self-isolation, quarantine, job loss, risk of contracting COVID-19, or grief of loved ones. Such a complex array of stressors ...may lead to symptoms of adjustment disorder or posttraumatic stress disorder. This research protocol describes a study launched by the European Society of Traumatic Stress Studies (ESTSS) to investigate the impact of the COVID-19 pandemic on symptoms of adjustment disorder across European countries.
The longitudinal online cohort study aims (1) to explore psychosocial reactions to the COVID-19 pandemic across ten European countries; (2) to examine the relationships between risk and resilience factors, stressors and symptoms of adjustment disorder during the pandemic; and (3) to investigate whether these relationships are moderated by coping behaviours.
In ten countries (Austria, Croatia, Georgia, Germany, Italy, Lithuania, Netherlands, Poland, Portugal, and Sweden), between 1,000 and 2,000 participants will be recruited, depending on the size of the country. Participants will be assessed at two timepoints with a six-month interval. Following a conceptual framework based on the WHO's social framework of health, an assessment of risk and resilience factors, COVID-19 related stressors and pandemic-specific coping behaviours will be measured to estimate their contribution to symptoms of adjustment disorder. The Adjustment Disorder New Module 8 (ADNM-8) will be used to assess symptoms of adjustment disorder. As a secondary measure, symptoms of posttraumatic stress disorder will be measure using the Primary Care PTSD Screen for DSM-5 (PC-PTSD-5).
The relative contribution of risk factors, resilience factors, and stressors on symptoms of adjustment disorder or symptoms of posttraumatic stress disorder will be estimated using multilevel analysis. To determine the moderating effects of different types of coping behaviours on these relationships, a multilevel mediation analysis will be carried out.
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