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Public health restrictions to protect physical health during the COVID-19 pandemic had unintended effects on mental health, which may have disproportionately affected some potentially vulnerable groups. This scoping review of qualitative research provides a narrative synthesis of new mothers' perspectives on their mental health during COVID-19 pandemic restrictions through pregnancy to the postpartum period. Database searches in PubMed, CINAHL, and PsycINFO sought primary research studies published until February 2023, which focused on new mothers' self-perceived mental health during the pandemic (N = 55). Our synthesis found that new mothers' mental health was impacted by general public health restrictions resulting in isolation from family and friends, a lack of community support, and impacts on the immediate family. However, public health restrictions specific to maternal and infant healthcare were most often found to negatively impact maternal mental health, namely, hospital policies prohibiting the presence of birthing partners and in-person care for their infants. This review of qualitative research adds depth to previous reviews that have solely examined the quantitative associations between COVID-19 public health restrictions and new mothers' mental health. Here, our review demonstrates the array of adverse impacts of COVID-19 public health restrictions on new mothers' mental health throughout pregnancy into the postpartum period, as reported by new mothers. These findings may be beneficial for policy makers in future public health emergency planning when evaluating the impacts and unintended consequences of public health restrictions on new mothers.
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OBJECTIVES: Reminiscence is a popular intervention for seniors, but, with mixed evidence supporting its efficacy, questions have been raised about the mechanisms underlying improvement. The present paper addresses this question by investigating the degree to which health effects depend on the development of a shared sense of group identification. This is examined in the context of traditional story-based reminiscence as well as novel forms of song-based reminiscence. METHOD: As the focus of a manualized intervention, 40 participants were randomly assigned to secular song (n=13), religious song (n=13), or standard story reminiscence (n=14) groups. These were run over six weeks with cognitive performance, anxiety, and life satisfaction measured before and after the intervention. Measures of group fit were included to examine whether social identification contributed to outcomes. RESULTS: No evidence of change emerged over time as a function of intervention form alone, but analysis of identification data revealed significant interactions with the type of reminiscence group. Specifically, initial fit with the story reminiscence group was associated with enhanced cognitive outcomes and greater life satisfaction, while fit with the religious song reminiscence group was associated with greater life satisfaction and less anxiety. CONCLUSION: These findings show that group identification is a key moderator through which reminiscence promotes health outcomes. Implications for theory and practice highlight an inherent limitation in randomized controlled trials insofar as they may compromise participants' group identification.
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Envelhecimento/psicologia , Cognição , Rememoração Mental , Satisfação Pessoal , Psicoterapia de Grupo/métodos , Identificação Social , Idoso , Idoso de 80 Anos ou mais , Ansiedade/psicologia , Feminino , Avaliação Geriátrica , Humanos , Masculino , Memória Episódica , Música/psicologia , Projetos Piloto , Religião e Psicologia , Resultado do TratamentoRESUMO
Although the threat and uncertainty of the COVID-19 pandemic has become a significant source of distress, using religion to cope may be associated with more positive health. Given the severity and chronicity of the pandemic, religious individuals may also have relied on a variety of non-religious coping methods. Much of the existing COVID-19 research overlooks the role of religious group membership and beliefs in relation to coping responses and associated mental health, with an additional lack of such research within the Canadian context. Thus, this cross-sectional study investigated relations among religiosity, stressor appraisals, (both religious and non-religious) coping strategies, mental and physical health in a religiously-diverse Canadian community sample (N = 280) during the pandemic's 2nd wave from March to June 2021. Numerous differences were apparent in appraisal-coping methods and health across five (non)religious groups (i.e., Atheists, Agnostics, "Spiritual but not religious", Christians, and those considered to be religious "Minorities" in Canada). Religiosity was also associated with better mental health, appraisals of the pandemic as a challenge from which one might learn or grow, and a greater reliance on problem-focused, emotional-engagement, and religious coping. Moreover, both problem-focused and emotional-engagement coping mediated the relations between religiosity and health. Taken together, this research has implications for individual-level coping as well as informing culturally-sensitive public health messages promoting targeted self-care recommendations with integrated religious or spiritual elements during times of threat and uncertainty, such as the COVID-19 pandemic.
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COVID-19 , Saúde Mental , Humanos , Adaptação Psicológica , Pandemias , Estudos Transversais , COVID-19/epidemiologia , Canadá/epidemiologia , ReligiãoRESUMO
This research examined religious engagement and subsequent antibody responses to the COVID-19 vaccine. Using publicly available data from the Understanding Society survey, we employed a longitudinal design. Between January 2016 and May 2018, respondents completed measures of religious belonging, frequency of attending religious services (i.e., extrinsic religiosity), and the difference religion made to their lives (i.e., intrinsic religiosity). A COVID-19 survey wave was collected in March 2021 and measured antibody responses to the COVID-19 vaccine via blood draw. A final sample of 746 adults [462 (61.9%) females, Mage = 61.94, SD = 19.07] was achieved. Mediation analyses (PROCESS, Model 4; Hayes, Introduction to mediation, moderation, and conditional process analysis: A regression-based approach, The Guildford Press, 2022; Introduction to mediation, moderation, and conditional process analysis: A regression-based approach; The Guildford Press) revealed one pathway through which religion and antibody responses to the COVID-19 vaccine are associated, namely via extrinsic factors-attendance at religious services. In contrast, intrinsic religious factors which is the difference religion can make to one's life, was not a significant mediator. Overall, this analysis provides evidence that behavioural enactment of religion matters to the effectiveness of vaccination and the management of public health crises. It also highlights the value of social resources associated with engagement in valued social groups-and in particular religious social groups-for public health.
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Older adults living in residential care often experience challenges in sustaining meaningful social relationships, which can result in compromised health and well-being. Online social networking has the potential to mitigate this problem, but few studies have investigated its implementation and its effectiveness in maintaining or enhancing well-being. This pilot study used a cluster-randomized pre-post design to examine the feasibility of implementing a 12-week group-based technology-training intervention for older adults (n = 48) living in residential care by exploring how cognitive health, mental health, and confidence in technology were impacted. Analysis of variance revealed significant increases in life satisfaction, positive attitudes toward computer use, and self-perceived competence among participants who received the intervention, but increased depressive symptoms for the control group. These findings suggest that, despite challenges in implementing the intervention in residential care, group-based technology training may enhance confidence among older adults while maintaining or enhancing mental health.
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Correio Eletrônico , Relações Interpessoais , Humanos , Idoso , Projetos Piloto , Estudos de Viabilidade , Saúde MentalRESUMO
OBJECTIVES: Aging is associated with deterioration in health and well-being, but previous research suggests that this can be attenuated by maintaining group memberships and the valued social identities associated with them. In this regard, religious identification may be especially beneficial in helping individuals withstand the challenges of aging, partly because religious identity serves as a basis for a wider social network of other group memberships. This paper aims to examine relationships between religion (identification and group membership) and well-being among older adults. The contribution of having and maintaining multiple group memberships in mediating these relationships is assessed, and also compared to patterns associated with other group memberships (social and exercise). METHOD: Study 1 (N = 42) surveyed older adults living in residential care homes in Canada, who completed measures of religious identity, other group memberships, and depression. Study 2 (N = 7021) longitudinally assessed older adults in the UK on similar measures, but with the addition of perceived physical health. RESULTS: In Study 1, religious identification was associated with fewer depressive symptoms, and membership in multiple groups mediated that relationship. However, no relationships between social or exercise groups and mental health were evident. Study 2 replicated these patterns, but additionally, maintaining multiple group memberships over time partially mediated the relationship between religious group membership and physical health. CONCLUSION: Together these findings suggest that religious social networks are an especially valuable source of social capital among older adults, supporting well-being directly and by promoting additional group memberships (including those that are non-religious).
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Depressão/psicologia , Saúde Mental/estatística & dados numéricos , Religião e Psicologia , Identificação Social , Apoio Social , Idoso , Idoso de 80 Anos ou mais , Canadá , Coleta de Dados , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Análise de Regressão , Instituições Residenciais , Reino UnidoRESUMO
Despite evidence supporting numerous scientific issues (e.g. climate change, vaccinations) many people still doubt the legitimacy of science. Moreover, individuals may be prone to scepticism about scientific findings that misalign with their ideological beliefs and identities. This research investigated whether trust in science (as well as government and media) and COVID-19 vaccination intentions varied as a function of (non)religious group identity, religiosity, religion-science compatibility beliefs, and/or political orientation in two online studies (N = 565) with university students and a Canadian community sample between January and June 2021. In both studies, vaccination intentions and trust in science varied as a function of (non)religious group identity and beliefs. Vaccine hesitancy was further linked to religiosity through a lack of trust in science. Given the ideological divides that the pandemic has exacerbated, this research has implications for informing public health strategies for relaying scientific findings to the public and encouraging vaccine uptake in culturally appropriate ways.
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COVID-19 , Humanos , Confiança , Pandemias , Vacinas contra COVID-19 , Intenção , Canadá , Vacinação , ReligiãoRESUMO
As the number of older adults is expected to increase exponentially within the next few decades, loneliness, social isolation, and depression among seniors are growing public health concerns. Although formal treatment options, such as therapy and medication, can be helpful for depression, they can also be expensive and sometimes ineffective. It is therefore important to consider other potential treatment options and social interventions. Alternative methods for addressing mental health issues are especially important for older adults, as they may encounter barriers associated with aging such as limited mobility and decreased social networks. In these circumstances, online social networking may offer a potential "social cure" to alleviate loneliness, social isolation, and depression. The purpose of this scoping review was to gather and summarize the current literature on associations between online social networking and mental health outcomes (e.g., depression, life satisfaction, loneliness) among older adults. An initial search of 3,699 articles resulted in 52 articles that met criteria for inclusion. Five common themes were identified: (1) enhanced communication with family and friends, (2) greater independence and self-efficacy, (3) creation of online communities, (4) positive associations with well-being and life satisfaction, and (5) decreased depressive symptoms. Implications for older adults' mental health, social connectedness, programs and policies are discussed.
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Redes Sociais Online , Idoso , Humanos , Solidão/psicologia , Saúde Mental , Isolamento Social , Rede SocialRESUMO
The prevalence of gestational diabetes mellitus (GDM) is dramatically higher in Indigenous compared with non-Indigenous populations in Canada. In this scoping review, we synthesize the existing literature regarding GDM among Indigenous peoples in Canada, including social and structural determinants that contribute to its higher prevalence in this population. Seven themes related to GDM in Indigenous populations emerged from a synthesis of the 44 included articles. The themes were GDM prevalence and trends; risk factors; screening; diagnosis and treatment; maternal outcomes; child outcomes; systemic barriers; and Indigenous perceptions, concerns and health behaviours. The findings from this review suggest culturally appropriate health care and improved screening practices may help to mitigate the high prevalence and poor health outcomes associated with GDM in Indigenous communities across Canada. More community-driven, participatory research that includes the social determinants of health and a culturally safe lens is required to assess the effects and reduce the impact of GDM in this population.
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Diabetes Gestacional , Canadá/epidemiologia , Criança , Atenção à Saúde , Diabetes Gestacional/epidemiologia , Feminino , Humanos , Povos Indígenas , Programas de Rastreamento , GravidezRESUMO
The present investigation assessed the mediating role of appraisal-coping processes in the relation between forgiveness and depressive symptoms associated with intimate relationship conflicts. Study 1 assessed the role of forgiveness in the context of a severe relationship stressor, namely women experiencing dating abuse, along with the appraisal-coping responses and depressive symptoms associated with such a stressor. Study 2 evaluated the function served by forgiveness among men and women in response to non-abusive relationship stressors, including the dissolution of the relationship, and also assessed the relations among forgiveness, appraisal-coping processes, and depressive symptoms. Women who encountered dating abuse were less likely to forgive their partners, and this was linked to higher levels of depressive symptoms. The relation between forgiveness and lower depressive symptoms was partially mediated by lower threat appraisals, secondary appraisals of the effectiveness of emotion-focused coping, and the reduced endorsements of this coping strategy (Study 1). Appraisal-coping processes similarly mediated the relation between forgiveness and depressive symptoms among men and women reporting conflict in an ongoing (non-abusive) relationship or a relationship break-up (Study 2). It is suggested that the relation between forgiveness and diminished distress operates primarily by guiding individuals' appraisals of the conflict and by diminishing the reliance on emotion-focused coping.
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Adaptação Psicológica , Conflito Psicológico , Depressão/etiologia , Relações Interpessoais , Estresse Psicológico/complicações , Adolescente , Depressão/psicologia , Violência Doméstica/psicologia , Emoções , Feminino , Humanos , Masculino , Adulto JovemRESUMO
This study examined the relations among women's experiences of abuse, forgiveness, revenge, psychological health, and physiological stress reactivity. Both dispositional (Study 1; N = 103) and state (Study 2; N = 258) forgiveness and vengeance were associated with psychological symptoms. However, the relation between revenge and greater depression was magnified among psychologically abused women, whereas-unexpectedly-the positive link between forgiveness and psychological health was strengthened among physically abused women. Moreover, while revenge coincided with increased cortisol reactivity following any relationship conflict, this was only evident for forgiveness following physical abuse. The complex interactions among these variables are discussed within a stress and coping framework.
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Agressão/fisiologia , Perdão/fisiologia , Hidrocortisona/metabolismo , Trauma Psicológico/metabolismo , Trauma Psicológico/psicologia , Violência/psicologia , Adaptação Psicológica/fisiologia , Adolescente , Adulto , Agressão/psicologia , Biomarcadores/metabolismo , Depressão/metabolismo , Depressão/psicologia , Feminino , Humanos , Pessoa de Meia-Idade , Estresse Psicológico/metabolismo , Estresse Psicológico/psicologia , Adulto JovemRESUMO
INTRODUCTION: Increases in life expectancy and the underlying age structure of the Canadian population have contributed to dramatic increases in the number of seniors who are caregivers. While caregiving is associated with several adverse health impacts, there is a need to better understand how these impacts might be different among older caregivers, and whether those impacts are modified by socioeconomic status. METHODS: We sought to address these research gaps by using cross-sectional data provided by participants of the 2012 Canadian General Social Survey (GSS). Descriptive analyses were performed to compare the self-reported health impacts that participants attributed to caregiving, and how these varied by age and income. Logistic regression analyses were performed to identify which factors were associated with self-reported impacts on overall health among caregivers 65 years of age and older. RESULTS: The demographic characteristics of the care-providers varied substantially by age with older caregivers having lower incomes and devoting more time to caregiving relative to those who were younger. The self-reported impacts of caregiving on overall health were greatest among those between the ages of 35 and 64, and this pattern was evident across all income groups. Feelings of loneliness and social isolation as a result of caregiving responsibilities appeared to be mitigated by both greater age and income. However, across all age groups, caregiving was more likely to adversely impact exercise habits, healthy eating, and alcohol consumption than to promote more positive behaviours. CONCLUSION: Providing care impacts health behaviours and mental health regardless of age and income. However, our findings suggest that older caregivers (who are most often women)-who provide the most hours of care and on reduced incomes relative to younger caregivers-appear less impacted in terms of health behaviours, perhaps as a result of fewer competing demands relative to younger caregivers. Taken together, these findings suggest that support systems must consider caregiver impacts that vary in complex ways across age, sex, and income.
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Cuidadores/estatística & dados numéricos , Comportamentos Relacionados com a Saúde , Nível de Saúde , Adolescente , Adulto , Fatores Etários , Idoso , Consumo de Bebidas Alcoólicas , Canadá , Estudos Transversais , Dieta Saudável , Exercício Físico , Feminino , Inquéritos Epidemiológicos , Humanos , Renda , Masculino , Pessoa de Meia-Idade , Autorrelato , Fumar , Adulto JovemRESUMO
ABSTRACTInformal caregivers often experience high stress levels with little support, especially in rural settings. With a mixed-methods approach, this research explored experiences of rural informal caregivers, including how social identification as a caregiver, social interactions, and formal and informal coping support related to perceived stress. Major focus group themes (n = 8) included lacking available services, balancing challenges, unmet practical needs, and strong community identity. Survey data (n = 22) revealed that perceived coping support (e.g., having someone to turn to), social interactions, and caregiver identity (e.g., perceiving the role as important to one's self-concept) were associated with lower life upset stress, but only caregiver identity was associated with managing the personal distress and negative feelings associated with caregiving stress. Results suggest that, although available rural services may fall short, other options might alleviate caregiver stress, including facilitating access to coping support, encouraging social interactions, and enhancing caregiver social identity.
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Cuidadores/psicologia , Estresse Psicológico/psicologia , Idoso , Idoso de 80 Anos ou mais , Feminino , Grupos Focais , Humanos , Masculino , Pessoa de Meia-Idade , Ontário , Pesquisa Qualitativa , População Rural/estatística & dados numéricos , Apoio Social , Inquéritos e QuestionáriosRESUMO
Several challenges (e.g., sexism, parental leave, the glass ceiling, etc.) disproportionately affect women in academia (and beyond), and thus perpetuate the leaky pipeline metaphor for women who opt-out of an academic career. Although this pattern can be seen at all levels of the academic hierarchy, a critical time for women facing such challenges is during the postdoctoral stage, when personal life transitions and professional ambitions collide. Using a social identity approach, we explore factors affecting the mental health of postdoctoral women, including identity development (e.g., as a mother, a scientist) and lack of control (uncertainty about one's future personal and professional prospects), which likely contribute to the leak from academia. In this mixed-method research, Study 1 comprised interviews with postdoctoral women in North America (n = 13) and Europe (n = 8) across a range disciplines (e.g., psychology, physics, political science). Common themes included the negative impact of career uncertainty, gender-based challenges (especially sexism and maternity leave), and work-life balance on mental and physical health. However, interviewees also described attempts to overcome gender inequality and institutional barriers by drawing on support networks. Study 2 comprised an online survey of postdoctoral women (N = 146) from a range of countries and academic disciplines to assess the relationships between social identification (e.g., disciplinary, gender, social group), perceived control (i.e., over work and life), and mental health (i.e., depression, anxiety, stress, and life satisfaction). Postdoctoral women showed mild levels of stress and depression, and were only slightly satisfied with life. They also showed only moderate levels of perceived control over one's life and work. However, hierarchical regression analyses revealed that strongly identifying with one's discipline was most consistently positively associated with both perceived control and mental health. Collectively, these findings implicate the postdoctoral stage as being stressful and tenuous for women regardless of academic background or nationality. They also highlight the importance of disciplinary identity as a potentially protective factor for mental health that, in turn, may diminish the rate at which postdoctoral women leak from the academic pipeline.
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The present research explored whether components of social identity, namely ingroup ties, affect, and centrality, were differentially linked to mental health and inflammatory immune responses, and whether rumination mediated those relations. Study 1 (N = 138) indicated that stronger ingroup ties were associated with fewer mental health (depressive and post-traumatic stress) symptoms; those relations were mediated by the tendency for individuals with strong ties to rely less on ruminative coping to deal with a stressful life event. Study 2 (N = 54) demonstrated that ingroup ties were negatively associated with depressive symptoms, dispositional rumination, as well as stress-linked inflammatory elements at the physiological level. Consistent associations for centrality and ingroup affect were absent, suggesting that ingroup ties may have unique health benefits.
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Fenômenos do Sistema Imunitário , Saúde Mental , Ruminação Cognitiva , Identificação Social , Adaptação Psicológica , Citocinas/sangue , Depressão/imunologia , Feminino , Processos Grupais , Humanos , Masculino , Religião , Apoio Social , Transtornos de Estresse Pós-Traumáticos/imunologia , Estresse Psicológico/imunologia , Inquéritos e Questionários , Adulto JovemRESUMO
The manner in which features of the built environment, such as walkability and greenness, impact participation in recreational activities and health are complex. We analyzed survey data provided by 282 Ottawa adults in 2016. The survey collected information on participation in recreational physical activities by season, and whether these activities were performed within participants' neighbourhoods. The SF-12 instrument was used to characterize their overall mental and physical health. Measures of active living environment, and the satellite derived Normalized Difference Vegetation Index (NDVI) and Google Street View (GSV) greenness indices were assigned to participants' residential addresses. Logistic regression and least squares regression were used to characterize associations between these measures and recreational physical activity, and self-reported health. The NDVI was not associated with participation in recreational activities in either the winter or summer, or physical or mental health. In contrast, the GSV was positively associated with participation in recreational activities during the summer. Specifically, those in the highest quartile spent, on average, 5.4 more hours weekly on recreational physical activities relative to those in the lowest quartile (p = 0.01). Active living environments were associated with increased utilitarian walking, and reduced reliance on use of motor vehicles. Our findings provide support for the hypothesis that neighbourhood greenness may play an important role in promoting participation in recreational physical activity during the summer.
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Ambiente Construído , Nível de Saúde , Saúde Mental/estatística & dados numéricos , Recreação/fisiologia , Características de Residência/estatística & dados numéricos , Adolescente , Adulto , Idoso , Canadá , Feminino , Inquéritos Epidemiológicos , Humanos , Masculino , Pessoa de Meia-Idade , Análise de Regressão , Saúde da População Urbana , Caminhada/estatística & dados numéricos , Adulto JovemRESUMO
There is growing recognition that identification with social groups can protect and enhance health and well-being, thereby constituting a kind of "social cure." The present research explores the role of control as a novel mediator of the relationship between shared group identity and well-being. Five studies provide evidence for this process. Group identification predicted significantly greater perceived personal control across 47 countries (Study 1), and in groups that had experienced success and failure (Study 2). The relationship was observed longitudinally (Study 3) and experimentally (Study 4). Manipulated group identification also buffered a loss of personal control (Study 5). Across the studies, perceived personal control mediated social cure effects in political, academic, community, and national groups. The findings reveal that the personal benefits of social groups come not only from their ability to make people feel good, but also from their ability to make people feel capable and in control of their lives.
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Processos Grupais , Nível de Saúde , Autonomia Pessoal , Satisfação Pessoal , Autocontrole , Identificação Social , Adolescente , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Adulto JovemRESUMO
Group-based interventions have been argued to slow the cognitive decline of older people residing in care by building social identification and thereby increasing motivation and engagement. The present study explored the identity-cognition association further by investigating the impact of a group decision-making intervention on cognition. Thirty-six care home residents were assigned to one of three conditions: an Intervention in which they made decisions about lounge refurbishment as a group, a Comparison condition in which staff made these decisions, or a no-treatment Control. Cognitive function, social identification, home satisfaction, and lounge use were measured before and after the intervention. Participants in the Intervention condition showed significant increases on all measures, and greater improvement than participants in both Comparison and Control conditions. Consistent with social identity theorizing, these findings point to the role of group activity and social identification in promoting cognitive integrity and well-being among care residents.
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Cognição/fisiologia , Tomada de Decisões , Processos Grupais , Instituições Residenciais , Identificação Social , Idoso , Idoso de 80 Anos ou mais , Envelhecimento/psicologia , Análise de Variância , Terapia Cognitivo-Comportamental/métodos , Feminino , Humanos , Decoração de Interiores e Mobiliário , Assistência de Longa Duração/psicologia , Masculino , Rememoração Mental , Avaliação de Resultados em Cuidados de Saúde/estatística & dados numéricos , Satisfação do Paciente/estatística & dados numéricos , Quartos de Pacientes/estatística & dados numéricos , Testes Psicológicos , AutorrelatoRESUMO
As a social identity anchored in a system of guiding beliefs and symbols, religion ought to serve a uniquely powerful function in shaping psychological and social processes. Religious identification offers a distinctive "sacred" worldview and "eternal" group membership, unmatched by identification with other social groups. Thus, religiosity might be explained, at least partially, by the marked cognitive and emotional value that religious group membership provides. The uniqueness of a positive social group, grounded in a belief system that offers epistemological and ontological certainty, lends religious identity a twofold advantage for the promotion of well-being. However, that uniqueness may have equally negative impacts when religious identity itself is threatened through intergroup conflict. Such consequences are illustrated by an examination of identities ranging from religious fundamentalism to atheism. Consideration of religion's dual function as a social identity and a belief system may facilitate greater understanding of the variability in its importance across individuals and groups.