Supporting the well-being of health care providers during the COVID-19 pandemic: The CopeColumbia response.

OBJECTIVE: COVID-19 is an international public health crisis, putting substantial burden on medical centers and increasing the psychological toll on health care workers (HCW). METHODS: This paper describes CopeColumbia, a peer support program developed by faculty in a large urban medical center's Department of Psychiatry to support emotional well-being and enhance the professional resilience of HCW. RESULTS: Grounded in evidence-based clinical practice and research, peer support was offered in three formats: groups, individual sessions, and town halls. Also, psychoeducational resources were centralized on a website. A Facilitator's Guide informed group and individual work by including: (1) emotional themes likely to arise (e.g., stress, anxiety, trauma, grief, and anger) and (2) suggested facilitator responses and interventions, drawing upon evidence-based principles from peer support, stress and coping models, and problem-solving, cognitive behavioral, and acceptance and commitment therapies. Feedback from group sessions was overwhelmingly positive. Approximately 1/3 of individual sessions led to treatment referrals. CONCLUSIONS: Lessons learned include: (1) there is likely an ongoing need for both well-being programs and linkages to mental health services for HCW, (2) the workforce with proper support, will emerge emotionally resilient, and (3) organizational support for programs like CopeColumbia is critical for sustainability.

Low Vision Rehabilitation for Adult African Americans in Two Settings.

PURPOSE: The Vision Rehabilitation for African Americans with Central Vision Impairment (VISRAC) study is a demonstration project evaluating how modifications in vision rehabilitation can improve the use of functional vision. METHODS: Fifty-five African Americans 40 years of age and older with central vision impairment were randomly assigned to receive either clinic-based (CB) or home-based (HB) low vision rehabilitation services. Forty-eight subjects completed the study. The primary outcome was the change in functional vision in activities of daily living, as assessed with the Veteran's Administration Low-Vision Visual Function Questionnaire (VFQ-48). This included scores for overall visual ability and visual ability domains (reading, mobility, visual information processing, and visual motor skills). Each score was normalized into logit estimates by Rasch analysis. Linear regression models were used to compare the difference in the total score and each domain score between the two intervention groups. The significance level for each comparison was set at 0.05. RESULTS: Both CB and HB groups showed significant improvement in overall visual ability at the final visit compared with baseline. The CB group showed greater improvement than the HB group (mean of 1.28 vs. 0.87 logits change), though the group difference is not significant (p = 0.057). The CB group visual motor skills score showed significant improvement over the HB group score (mean of 3.30 vs. 1.34 logits change, p = 0.044). The differences in improvement of the reading and visual information processing scores were not significant (p = 0.054 and p = 0.509) between groups. Neither group had significant improvement in the mobility score, which was not part of the rehabilitation program. CONCLUSIONS: Vision rehabilitation is effective for this study population regardless of location. Possible reasons why the CB group performed better than the HB group include a number of psychosocial factors as well as the more standardized distraction-free work environment within the clinic setting.

The measurement of body-image dissatisfaction-satisfaction: is rating importance important?

Some researchers have argued that evaluative body image may be better assessed by measures that weight dissatisfaction-satisfaction ratings by their subjective importance to individuals. The Body Areas Satisfaction Scale (BASS) is a frequently used, standardized assessment of evaluative body image, albeit one that does not use differential item weights. This investigation, with 410 female and male college students, examined whether an importance-weighted revision of the BASS would have incremental validity relative to the original version in the prediction of multiple criterion variables. Results confirmed the reliability and validity of unweighted and weighted versions. However, the validity of weighted versions did not surpass that of the original BASS. The extremity of individuals' satisfaction and dissatisfaction ratings appears inherently to reflect the importance placed on physical attributes for self-evaluation. Moderated regression analyses offered only weak support for the interaction of average satisfaction and average importance ratings beyond their main effects. The simpler, unweighted BASS is an acceptable assessment of evaluative body image.

Body-image thought processes: The development and initial validation of the Assessment of Body-Image Cognitive Distortions.

No measures exist that specifically assess cognitive distortions related to body image per se, despite their theoretical and clinical significance. Most cognitive-distortion scales pertain to depression, anxiety, or eating disorders. Accordingly, the 37-item Assessment of Body-Image Cognitive Distortions (ABCD) was developed and validated in this study with a sample of 263 college women. The ABCD samples eight types of distorted thinking related to how persons process information about their physical appearance. Two 18-item parallel forms of the unidimensional measure were also constructed. All forms were highly internally consistent and relatively free from socially desirable responding. Convergent validity for all ABCD forms was established using several standardized measures of body image and eating attitudes. Multiple regression analysis showed that the ABCD was predictable from body-image evaluation, investment, and overweight preoccupation. The ABCD uniquely predicted body-image quality of life and disturbed eating attitudes above and beyond other body-image predictors. Heavier women and White women were more prone to body-image cognitive distortions than were thinner women and Black women. Finally, limitations of this preliminary study, directions for future research, and clinical implications are discussed.