Sociocultural predictors of immigrant adjustment and well-being.

Introduction: Research shows that culture change may pose risks to immigrant wellbeing. Our study examined adult Georgians (N = 431) residing in Greece, Italy, and Germany, and explored associations between their demographic characteristics, sociocultural adjustment, and psychological well-being outcomes. Methods: Conducted via electronic self-report survey, the cross-sectional study measured participants' levels of sociocultural adjustment, psychological adjustment, and depression along with the willingness to interact with host nationals, perceived sense of discrimination, history of being undocumented, age and length of relocation, and fluency in host language. The study also examined differences in three subsamples from the standpoint of intercultural distance. Sociocultural Adjustment Scale, Brief Psychological Adaptation Scale, Center for Epidemiologic Studies Depression Scale and Host Interaction Scale were used to measure the corresponding variables. Perceived history of discrimination was measured by a Likert-scale question about discrimination in a host country. Intercultural distance was established by Hofstede cultural compass and was estimated to be the smallest with Greece and the largest with Germany. Results: Depression was positively predicted by histories of discrimination and illegal immigration, host language fluency upon relocation, and was negatively predicted by sociocultural adjustment. Psychological adjustment was positively predicted by sociocultural adjustment, willingness to interact with host nationals, and ongoing language fluency, while perceived sense of discrimination, age, and poor financial state acted as negative predictors. Finally, sociocultural adjustment acted as the strongest determinant of wellbeing predicting both lower depression and higher psychological adjustment. Discussion: Our findings suggested that adjustment in diverse sociocultural domains was the most critical for the immigrants' psychological well-being along with the lack of perceived discrimination. Additional factors associated with the better adaptation outcomes included younger age, willingness to interact with host nationals, language fluency, better financial standing and no history of being undocumented. The results also indicated that host language proficiency upon relocation may contribute to migrant susceptibility, whereas intercultural distance may be overshadowed in importance by acculturation conditions. The findings illustrate the complexity of migration and culture change and point to the superiority of wholistic policies and practices in promoting smooth transition of immigrant populations.

Anxiety, Worry, Life Satisfaction and Coping During the Acute VS Prolonged Pandemic Stress: Evidence From a Repeated Cross-Sectional Study.

Objectives: The COVID-19 pandemic remains a continuous stressor worldwide. Our study aimed at comparing the data of waves from two lockdowns in Georgia, one in the acute stress phase (May 2020) and the other in the prolonged stress phase (December 2020). Methods: In total, 750 and 716 individuals participated in the study with a repeated cross-sectional design. Sample equivalence was reached via controlling demographic variables. Anxiety, COVID-19 worry, and life satisfaction were measured along with coping behaviors and four coping styles-information-accessing/processing and action-planning (two problem-focused coping styles), and passive-submissive and avoidant (two emotion-focused coping styles). Results: As pandemic prolonged, mental health indicators worsened, the action-planning style and behavioral coping decreased, while the information-accessing/processing style increased. The link between the COVID-19 worry and the action-planning coping style was strong in the acute stage and dissapeared in the prolonged stage. The individual context, namely, a history of coronavirus in the household, accounted for lower protective behaviors and higher information seeking in the prolonged phase. Conclusion: The findings highlighted the importance of timing and general and individual contexts in coping with the pandemic.

Culture Related Factors May Shape Coping During Pandemics.

This study aimed to examine how anxiety related to different styles of coping during the COVID-19 pandemic and how these relationships were moderated by the cultural orientations of individualism/collectivism and a person's sense of meaning in life. A sample of 849 participants from Georgia completed an online survey during the final stage of lockdown. To measure the main variables, we used the State Anxiety Inventory, the Horizontal and Vertical Individualism and Collectivism Scale, the Meaning of Life Questionnaire, the COVID-19 Worry Scale, and the Ways of Coping Scale tailored to COVID-19 pandemic. The latter measured rational coping via the subscales of information accessing/processing and action-planning coping, and affective coping - via the subscales of passive-submissive and avoidant coping. Results suggested that anxiety positively predicted both affective coping styles and negatively predicted the action-planning coping style, while COVID-19 worry predicted all coping styles; presence of meaning in life positively predicted both rational coping styles and negatively predicted the avoidant coping style, while search for meaning positively predicted all coping styles; individualism negatively predicted the passive-submissive style and positively predicted the action-planning style, whereas collectivism predicted all coping styles; furthermore, individualism and collectivism moderated the link between anxiety and the passive-submissive coping style, presence of meaning in life moderated the link between anxiety and avoidant coping style, while search for meaning in life moderated the link between anxiety and the action-planning coping style. Overall, the findings enrich the cultural transactional theory of stress and coping, and generate insights for the culture-sensitive approach to the meaning in life. The results were conceptualized vis-a-vis Georgia's intermediate position between clear-cut individualism and clear-cut collectivism.

Impact of COVID-19 Lockdown in Eating Disorders: A Multicentre Collaborative International Study.

BACKGROUND: The COVID-19 lockdown has had a significant impact on mental health. Patients with eating disorders (ED) have been particularly vulnerable. AIMS: (1) To explore changes in eating-related symptoms and general psychopathology during lockdown in patients with an ED from various European and Asian countries; and (2) to assess differences related to diagnostic ED subtypes, age, and geography. METHODS: The sample comprised 829 participants, diagnosed with an ED according to DSM-5 criteria from specialized ED units in Europe and Asia. Participants were assessed using the COVID-19 Isolation Scale (CIES). RESULTS: Patients with binge eating disorder (BED) experienced the highest impact on weight and ED symptoms in comparison with other ED subtypes during lockdown, whereas individuals with other specified feeding and eating disorders (OFSED) had greater deterioration in general psychological functioning than subjects with other ED subtypes. Finally, Asian and younger individuals appeared to be more resilient. CONCLUSIONS: The psychopathological changes in ED patients during the COVID-19 lockdown varied by cultural context and individual variation in age and ED diagnosis. Clinical services may need to target preventive measures and adapt therapeutic approaches for the most vulnerable patients.

COVID Isolation Eating Scale (CIES): Analysis of the impact of confinement in eating disorders and obesity-A collaborative international study.

Confinement during the COVID-19 pandemic is expected to have a serious and complex impact on the mental health of patients with an eating disorder (ED) and of patients with obesity. The present manuscript has the following aims: (1) to analyse the psychometric properties of the COVID Isolation Eating Scale (CIES), (2) to explore changes that occurred due to confinement in eating symptomatology; and (3) to explore the general acceptation of the use of telemedicine during confinement. The sample comprised 121 participants (87 ED patients and 34 patients with obesity) recruited from six different centres. Confirmatory Factor Analyses (CFA) tested the rational-theoretical structure of the CIES. Adequate goodness-of-fit was obtained for the confirmatory factor analysis, and Cronbach alpha values ranged from good to excellent. Regarding the effects of confinement, positive and negative impacts of the confinement depends of the eating disorder subtype. Patients with anorexia nervosa (AN) and with obesity endorsed a positive response to treatment during confinement, no significant changes were found in bulimia nervosa (BN) patients, whereas Other Specified Feeding or Eating Disorder (OSFED) patients endorsed an increase in eating symptomatology and in psychopathology. Furthermore, AN patients expressed the greatest dissatisfaction and accommodation difficulty with remote therapy when compared with the previously provided face-to-face therapy. The present study provides empirical evidence on the psychometric robustness of the CIES tool and shows that a negative confinement impact was associated with ED subtype, whereas OSFED patients showed the highest impairment in eating symptomatology and in psychopathology.

Culture Change and Eating Patterns: A Study of Georgian Women.

Introduction: Immigration and culture change have been thought to affect various aspects of psychological well-being, including eating behaviors. This study aimed to examine the association between immigration, acculturation strategies and eating patterns. Materials and Methods: Acculturation was conceptualized and measured by acculturation strategies of integration (maintaining original culture and adopting the new culture), assimilation (adopting the new culture and leaving behind the old), separation (sticking with the original culture only) and marginalization (maintaining/adopting neither culture). Eating patterns were conceptualized by dietary restriction, eating concern, shape concern, and weight concern. Links between demographic variables, acculturation strategies, and eating patterns were also examined. Five hundred and six Georgian women took part in the study: 253 living abroad (UK and USA) and 253 living in Georgia. Measures included East Asian Acculturation Measure (EAAM) for acculturation strategies (assimilation, integration, separation, and marginalization subscales) and Eating Disorder Examination Questionnaire (EDEQ) for eating patterns (dietary restriction, eating concern, weight concern, shape concern subscales, and global score). Relevant demographic variables and Body Mass Index (BMI) were recorded. Results: Comparisons of immigrant and nonimmigrant groups using Multivariate Analysis of Covariance (MANCOVA) with BMI as a covariate found a difference in dietary restriction only, with immigrants yielding higher mean score than non-immigrants. The global EDEQ scores of immigrant and nonimmigrant groups were almost identical though. Correlations between separation and marginalization and four EDEQ scores were statistically significant and positive, while correlations between integration and two EDEQ subscales were marginally significant and negative. Regression analysis showed that separation and marginalization strategies of acculturation were significantly linked with EDEQ eating concern, shape concern, weight concern, and global scores thereby representing predictors of elevated eating outcomes. Discussion: Findings suggested that moving to Western countries increased dietary restriction among Georgian women. Furthermore, while living abroad, the lack of integration in a host culture, as a common denominator of separation and marginalization strategies of acculturation, may predict elevated eating, shape, and weight concerns among women relocated over six years ago. Acculturation conditions may also be linked with integration or well-being outcomes.

Is cultural change associated with eating disorders? A systematic review of the literature.

BACKGROUND: There is debate as to whether the development of an eating disorder (ED) may be triggered by acculturation to Western culture. While there is evidence to suggest that acculturation to Western culture is associated with risk of having an ED, these findings are limited, vary significantly, and are sometimes conflicting. AIMS: To review the literature and empirical data on the association between ED symptoms and acculturation in the context of Western culture. METHODS: A systematic search of peer-reviewed publications using a combination of the keywords "Culture", "Acculturation" and "Eating disorders" was first performed in August 2014 and updated in February 2015 with the following databases: PubMed and SCOPUS. Reference lists were also hand searched. In total, the search provided more than 50 studies. Following screening (as stated in the PRISMA guidelines) of the titles and abstracts by inclusion and exclusion criteria and quality assessment of the full text, 25 studies were identified to be appropriate for the review. Articles were examined in relation to the findings, as well as the ED and acculturation measures used. RESULTS: Eleven studies suggested considerable association between ED and culture change/acculturation. Six studies suggested little or no association between ED and culture change/acculturation. Eight studies did not primarily examine association, yet generated valuable insight. While there was relative consistency across studies in terms of the ED measures selected, measures of acculturation varied significantly. CONCLUSIONS: The majority of the evidence reviewed here suggests that there is a substantial association between culture change and ED psychopathology. However, both greater and lesser acculturation have been identified as risk factors for the development of an ED, and this varies depending on the group studied as well as how acculturation and culture change are conceptualized and measured. Further research is warranted to form cross-culturally acceptable definitions and measures of problematic eating, and healthy and high acculturation, to study the relationship between EDs and the process of acculturation to Western culture.