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The American Psychologist Sep 2019Economic hardship during childhood is associated with worse mental and physical health across the life span. Over the past decade, interdisciplinary research has started... (Review)
Review
Economic hardship during childhood is associated with worse mental and physical health across the life span. Over the past decade, interdisciplinary research has started to elucidate the behavioral and biological pathways that underlie these disparities and identify protective factors that mitigate against their occurrence. In this integrative review we describe these advances, highlight remaining gaps in knowledge, and outline a research agenda for psychologists. This article has 3 aims. First, we consider the evolving psychobiological literature on protective factors and conclude that supportive relationships can mitigate against the physical health problems often associated with economic hardship. Second, we discuss recent empirical developments in health psychology, public health, and the biological sciences, which reveal trade-offs associated with adaptation and challenge the conception of what it means to be resilient. Finally, we outline a research agenda that attempts to integrate existing knowledge on health disparities with these newer challenges to inform both policy and practice for youth experiencing economic hardship. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
Topics: Child; Health Status; Health Status Disparities; Humans; Mental Health; Poverty; Protective Factors; Resilience, Psychological; Social Class
PubMed: 31545638
DOI: 10.1037/amp0000520 -
Addictive Behaviors Apr 2023This large-scale meta-analysis aimed to provide the most comprehensive synthesis to date of the available evidence from the pre-COVID period on risk and protective... (Meta-Analysis)
Meta-Analysis
This large-scale meta-analysis aimed to provide the most comprehensive synthesis to date of the available evidence from the pre-COVID period on risk and protective factors for (internet) gaming disorder (as defined in the DSM-5 or ICD-11) across all studied populations. The risk/protective factors included demographic characteristics, psychological, psychopathological, social, and gaming-related factors. In total, we have included 1,586 effects from 253 different studies, summarizing data from 210,557 participants. Apart from estimating these predictive associations and relevant moderating effects, we implemented state-of-the-art adjustments for publication bias, psychometric artifacts, and other forms of bias arising from the publication process. Additionally, we carried out an in-depth assessment of the quality of underlying evidence by examining indications of selective reporting, statistical inconsistencies, the typical power of utilized study designs to detect theoretically relevant effects, and performed various sensitivity analyses. The available evidence suggests the existence of numerous moderately strong and highly heterogeneous risk factors (e.g., male gender, depression, impulsivity, anxiety, stress, gaming time, escape motivation, or excessive use of social networks) but only a few empirically robust protective factors (self-esteem, intelligence, life satisfaction, and education; all having markedly smaller effect sizes). We discuss the theoretical implications of our results for prominent theoretical models of gaming disorder and for the existing and future prevention strategies. The impact of various examined biasing factors on the available evidence seemed to be modest, yet we identified shortcomings in the measurement and reporting practices.
Topics: Humans; Male; Protective Factors; Behavior, Addictive; Video Games; COVID-19; Internet
PubMed: 36571943
DOI: 10.1016/j.addbeh.2022.107590 -
BMC Psychiatry Sep 2022Several risk factors for anxious-depressive symptomatology during the COVID-19 pandemic have been established. However, few studies have examined the relationship...
BACKGROUND
Several risk factors for anxious-depressive symptomatology during the COVID-19 pandemic have been established. However, few studies have examined the relationship between personality traits, hardiness, and such symptomatology during the pandemic. These constructs might serve as risk- and/or protective factors for such mental distress through the pandemic.
METHODS
A sample of 5783 Norwegians responded to a survey at two time points within the first year of the pandemic. The first data collection was in April 2020 (T1) and the second in December 2020 (T2). Measures included the Ten-Item Personality-Inventory, the Revised Norwegian Dispositional Resilience Scale, and the Patient Health Questionnaire Anxiety and Depression Scale. Analyses were performed using Pearson's correlations, multiple linear regression, and a moderation analysis.
RESULTS
Anxious-depressive symptomatology in early phases (T1) of the pandemic was the strongest predictor for the presence of such symptomatology 9 months after the outbreak (T2). Personality and hardiness correlated significantly with mental distress at T1 and T2. Personality traits explained 5% variance in symptoms when controlling for age, gender, solitary living, negative economic impact, and mental distress at baseline. Higher neuroticism predicted higher mental distress, whereas higher conscientiousness and extraversion predicted less mental distress. Hardiness did not explain variance in outcome beyond personality traits. Hardiness did not significantly moderate the relationship between neuroticism and mental distress.
CONCLUSION
Individuals with high levels of neuroticism had greater difficulties adapting to the circumstances of the COVID-19 pandemic and were more prone to mental distress. Contrastingly, higher conscientiousness and extraversion may have served as protective factors for mental distress during the pandemic. The current findings might aid identification of vulnerable individuals and groups. Consequently, preventive interventions could be offered to those who need it the most.
Topics: COVID-19; Humans; Norway; Pandemics; Personality; Protective Factors
PubMed: 36109737
DOI: 10.1186/s12888-022-04237-y -
Is hyperlipidemia a potential protective factor against intraoperative awareness in cardiac surgery?Journal of Cardiothoracic Surgery Apr 2016Intraoperative awareness is a dreaded complication that leads to psychological sequelae such as posttraumatic stress disorder, especially in patients undergoing cardiac... (Review)
Review
BACKGROUND
Intraoperative awareness is a dreaded complication that leads to psychological sequelae such as posttraumatic stress disorder, especially in patients undergoing cardiac surgery. This study investigated the incidence of awareness among patients receiving cardiac surgery and sought to identify the risk factors contributing to intraoperative awareness.
METHODS
Patients with informed consent undergoing cardiac surgery from June to September in 2012 were enrolled. At least one structured interview was performed postoperatively with the modified Brice Interview Questionnaire to identify intraoperative awareness as confirmed awareness, possible awareness, and no awareness. Confirmed awareness events reported by patients were classified into different categories with the Michigan Awareness Classification Instrument. The questionnaire results were combined with the patient medical records. A logistic regression model was used to analyze the risk factors that may have led to intraoperative awareness.
RESULTS
An estimated 2136 patients were included, and 1874 patients completed at least one interview. 83 patients (4.4 %) were identified as possible or confirmed awareness, among which 46 (2.5 %) reported confirmed awareness. Patients who experienced confirmed awareness were mostly of Class 1 and 2, 15 and 24 patients respectively, which represented isolated auditory and tactile perceptions. And 11 patients reported feelings of distress intraoperatively. Hyperlipidemia was associated with intraoperative awareness (OR = 0.499, 95 % CI = 0.252-0.989, p = 0.043) and using chi-square test, however, no significance was found with logistic regression.
CONCLUSION
Patients undergoing cardiac surgery are at high risk for intraoperative awareness. Distress is a common feeling in patients with intraoperative awareness. Hyperlipidemia is a potential protective factor for intraoperative awareness in cardiac surgery.
Topics: Aged; Anesthesia, General; Cardiac Surgical Procedures; China; Female; Humans; Hyperlipidemias; Incidence; Intraoperative Awareness; Male; Middle Aged; Protective Factors; Risk Factors; Surveys and Questionnaires
PubMed: 27068284
DOI: 10.1186/s13019-016-0454-7 -
Psychiatry Research Jul 2022The rates of posttraumatic stress syndrome (PTSD) are high among refugee populations. At the same time, evidence is emerging of intergenerational transmission of... (Review)
Review
The rates of posttraumatic stress syndrome (PTSD) are high among refugee populations. At the same time, evidence is emerging of intergenerational transmission of psychopathology. The objective of this study was to examine the current knowledge on risk and protective factors for adverse mental health outcomes in the non-exposed offspring of trauma-affected refugees. A systematic search was undertaken from 1 January 1981 to 5 February 2021 (PubMed, Embase, PSYCInfo). Studies were included if they reported on families of trauma-exposed refugee parents and mental health outcomes in their non-exposed children. The search yielded 1415 results and twelve articles met inclusion criteria. The majority of studies emphasized the negative effects of parental mental health symptoms. There was substantial evidence of an association between parental PTSD and increased risk of psychological problems in offspring. Parenting style was identified as both a potential risk and protective factor. Risk/protective factors at the individual and family level were identified, but findings were inconclusive due to sample sizes and study designs. There is a need for evidence-based interventions aimed at improving child outcomes, especially by improving parental mental health and reinforcing parenting skills. Future research should aim to incorporate broader aspects of child development.
Topics: Child; Humans; Parenting; Parents; Protective Factors; Refugees; Stress Disorders, Post-Traumatic
PubMed: 35580432
DOI: 10.1016/j.psychres.2022.114604 -
International Journal of Environmental... Sep 2022While the prevalence of young people's conventional cigarette use has decreased in many countries, the use of e-cigarettes has risen. To effectively counteract the... (Review)
Review
While the prevalence of young people's conventional cigarette use has decreased in many countries, the use of e-cigarettes has risen. To effectively counteract the growing popularity of e-cigarettes among young people internationally, researchers should know the exact prevalence as well as the protective and risk factors associated with vaping. Based on five eligibility criteria, 53 articles were chosen and analyzed by general characteristics, prevalence, sample characteristics, gender difference, protective factors, and risk factors. In this study, the international pooled prevalence of young people's lifetime e-cigarette use was 15.3%, the current use was 7.7%, and dual use was 4.0%. While the highest lifetime, current, and dual prevalence were found in Sweden, Canada, and the United Kingdom, respectively, the lowest prevalence was found in Germany, followed by South Korea and Sweden. Some protective and risk factors include perceived cost and danger of vaping, parental monitoring, internal developmental assets, cigarette use, family and peer smoking, exposure to online advertisements, and the presence of nearby retail stores. Based on this review, researchers and practitioners can develop different intervention programs and strategies for young smokers.
Topics: Adolescent; Electronic Nicotine Delivery Systems; Humans; Prevalence; Protective Factors; Smoking; Vaping
PubMed: 36141845
DOI: 10.3390/ijerph191811570 -
Journal of Mental Health (Abingdon,... Apr 2020: Depressive symptoms complicate pain management for people with FM, with adverse consequences such as a greater need for pain medications and limited pain coping...
: Depressive symptoms complicate pain management for people with FM, with adverse consequences such as a greater need for pain medications and limited pain coping strategies. Determining risks and protective factors associated with depressive symptoms in persons with FM could inform the development and implementation of mental health interventions.: To formulate and test a behavioral activation model of depression with mindfulness as a protective factor for people with FM.: We conducted an online cross-sectional survey with 117 adults with FM from community and clinic networks. Path analysis was used to assess the relationships of pain intensity, perceived stress, activity interference, pain catastrophizing and mindfulness with depressive symptoms.: Mindfulness has a negative direct association with depressive symptoms and a negative indirect association with depressive symptoms through perceived stress, activity interference and pain catastrophizing. Perceived stress, activity interference and pain catastrophizing had direct associations with depressive symptoms. Finally, perceived stress, activity interference and pain catastrophizing had indirect associations with depressive symptoms through pain intensity.: Mindfulness seems to play an important role as a protective factor against the negative effects of stress and depression among people with FM and should be included in mental health interventions for chronic pain.
Topics: Adult; Aged; Aged, 80 and over; Catastrophization; Cross-Sectional Studies; Depression; Female; Fibromyalgia; Humans; Male; Middle Aged; Mindfulness; Pain; Pain Management; Protective Factors; Surveys and Questionnaires; Treatment Outcome; Young Adult
PubMed: 29271273
DOI: 10.1080/09638237.2017.1417555 -
International Journal of Environmental... Jan 2022In Chile, studies on protective factors and risk factors for sexual violence are limited and very few have incorporated analysis of different types of capital (social,...
In Chile, studies on protective factors and risk factors for sexual violence are limited and very few have incorporated analysis of different types of capital (social, economic, human) as social resources in the protection against sexual violence. The objective of this research is to evaluate to what extent the stock of different capitals act together, as either protective or risk factors in sexual violence in different interpersonal environments. The sample consisted of 1665 women between 15 and 30 years of age (M = 23.47, SD = 4.41). Artificial neural network analysis and social network analysis were used. The nodes representative of human and economic capital have a protective role of low relevance due to their position in the network, while the nodes of social capital acquire a structural relevance due to the central positions of the network. It is concluded that the structural social capital of neighborhood networks constitutes the main protective factor for sexual violence in all areas, and in turn, the structural social capital of networks with non-significant others was the main risk factor in sexual victimization.
Topics: Crime Victims; Female; Humans; Protective Factors; Residence Characteristics; Risk Factors; Sex Offenses; Social Capital; Social Support
PubMed: 35055599
DOI: 10.3390/ijerph19020777 -
American Journal of Pharmaceutical... Mar 2018To review literature pertaining to grit and resilience in health professions education. There is significant interest in grit and resilience throughout the health... (Review)
Review
To review literature pertaining to grit and resilience in health professions education. There is significant interest in grit and resilience throughout the health professions, but little has been published with regard to pharmacy. Although there are methodological issues with defining and measuring grit and resilience, several studies have shown relationships between the constructs and personal and academic well-being. Educational interventions aimed at increasing grit and resilience have produced mixed results. Developing protective factors appears to be the most common approach in helping students become more resilient. Literature pertaining to grit and resilience reveals that the terms are nuanced, complex, and difficult to measure and understand. Regardless, the general characteristics associated with grit and resilience are of interest to educators and warrant further study.
Topics: Education, Pharmacy; Education, Professional; Health Occupations; Humans; Protective Factors; Resilience, Psychological; Students; Students, Pharmacy
PubMed: 29606705
DOI: 10.5688/ajpe6150 -
BMJ Open Jun 2021This paper reports findings identifying foundation and junior doctors' experiences of occupational and psychological protective factors in the workplace and sources of...
OBJECTIVES
This paper reports findings identifying foundation and junior doctors' experiences of occupational and psychological protective factors in the workplace and sources of effective support.
DESIGN
Interpretative, inductive, qualitative study involving in-depth interviews with 21 junior doctor participants. The interviews were audio-recorded, transcribed, anonymised and imported into NVivo V.11 to facilitate data management. Data were analysed using a thematic analysis employing the constant comparative method.
SETTING
National Health Service in the UK.
PARTICIPANTS
Participants were recruited from junior doctors through social media (eg, the British Medical Association (BMA) junior doctors' Facebook group, Twitter and the mental health research charity websites). A purposive sample of 16 females and 5 males, ethnically diverse, from a range of specialities, across the UK. Junior doctor participants self-identified as having stress, distress, anxiety, depression and suicidal thoughts or having attempted to kill themselves.
RESULTS
Analysis identified three main themes, with corresponding subthemes relating to protective work factors and facilitators of support: (1) support from work colleagues - help with managing workloads and emotional support; (2) supportive leadership strategies, including feeling valued and accepted, trust and communication, supportive learning environments, challenging stigma and normalising vulnerability; and (3) access to professional support - counselling, cognitive-behavioural therapy and medication through general practitioners, specialist support services for doctors and private therapy.
CONCLUSIONS
Findings show that supportive leadership, effective management practices, peer support and access to appropriate professional support can help mitigate the negative impact of working conditions and cultures experienced by junior doctors. Feeling connected, supported and valued by colleagues and consultants acts as an important buffer against emotional distress despite working under challenging working conditions.
Topics: Attitude of Health Personnel; Female; Humans; Male; Medical Staff, Hospital; Protective Factors; Qualitative Research; State Medicine; United Kingdom; Workplace
PubMed: 34162643
DOI: 10.1136/bmjopen-2020-045588