Disentangling the associations between past childhood adversity and psychopathology during the COVID-19 pandemic: The mediating roles of specific pandemic stressors and coping strategies.

BACKGROUND: Individuals with a history of adverse childhood experiences (ACEs) display heightened symptoms of psychopathology during the COVID-19 pandemic. Yet, no study has investigated what aspects of the pandemic are of particular concern for this population and ways in which strategies to coping with pandemic stressors may exacerbate their clinical symptomatology. OBJECTIVE: This study explores what pandemic stressors and coping strategies are associated with ACEs, depression, and posttraumatic stress disorder (PTSD) during the COVID-19 pandemic, before investigating whether the identified chief stressors and coping styles mediate the effects of ACEs on depression and PTSD. PARTICIPANTS AND SETTING: 1107 Greek adults were sampled from the general population. METHODS: Participants completed the Adverse Childhood Experiences Questionnaire, Patient Health Questionnaire, Primary Care PTSD Screen for DSM-5, Pandemic Stressor Scale, and Brief Cope Scale. RESULTS: ACEs and depression were both predominantly associated with difficult housing conditions as a stressor (b = 0.079, p < .001 and b = 0.046, p < .001, respectively), whereas PTSD was mainly related to fear of contracting the COVID-19 virus (b = 0.065, p < .001). Self-blame was the main coping strategy associated with both ACEs (b = 0.046, p = .010), depression (b = 0.071, p < .0005), and PTSD (b = 0.088, p < .0005). Difficult housing conditions and self-blame further demonstrated a significant serial mediation effect in the relationship between ACEs with both depression (b = 0.105, 95% CI [0.0607, 0.158]) and PTSD (b = 0.019, 95% CI [0.011, 0.031]). CONCLUSIONS: The findings indicate that policy makers should identify ways of ameliorating challenging housing conditions, and that service providers should target self-blame in the psychological treatment of adults with ACEs during the COVID-19 pandemic.

Study of the Association of Insecure Attachment With the Dehumanization and Self-Dehumanization of Patients Hospitalized With Psychotic Disorder and Organic Disease.

Introduction Dehumanization is the phenomenon that concerns the non-attribution of humanness to other human beings and has two dimensions, animalistic and mechanistic. The aim of the present study is to study dehumanization and self-dehumanization in patients with psychosis and organic disease. Methods The sample consisted of 200 people who were hospitalized in Athens, Greece, in 2017. Participants were asked to answer the dehumanization questionnaire, the mechanistic self-dehumanization scale, the human nature and human uniqueness characteristics questionnaire, and the adult attachment questionnaire.  Results It was found that patients with organic disease and patients with psychosis do not perform mechanistic and animalistic dehumanization of themselves. Still, it seems that insecure attachment (anxiety and obsession) contributes positively to their mechanistic dehumanization and negatively to their mechanistic self-dehumanization. From the insecure attachment, only the dimensions of stress and obsession affect the mechanistic dehumanization.  Conclusions It is important to take measures to train specialists in the hospital so that they can establish a safe therapeutic relationship with the patient so that patients will not resort to dehumanization and self-dehumanization as a defense against the stress of hospitalization.

Dehumanization of Hospitalized Patients and Self-Dehumanization by Health Professionals and the General Population in Greece.

Introduction Dehumanization is defined as the denial to people of their humanness. It is distinguished into animalistic and mechanistic dehumanization. The aim of this study is to examine whether professionals in a public hospital dehumanize the patient and self-dehumanize. Methods We used the Dehumanization Questionnaire, the Mechanistic Self-Dehumanization Scale, the Human Nature and Human Uniqueness Characteristics Questionnaire, the General Causality Orientation Scale and the Adult Attachment Questionnaire. The sample consisted of 135 mental health professionals (20 from a general hospital and 115 from a psychiatric hospital), 134 other health professionals from the general hospital and 84 people from the general population. Results  Health professionals dehumanize the hospitalized patient more than the general population. The secure attachment acts protectively on self-dehumanization and negatively on the dehumanization of the hospitalized patient. Finally, autonomous people are not self-dehumanized. Conclusions Our findings indicate that measures should be taken for health professionals so that they do not dehumanize the patient.

Preference for non-cooperative economic strategies is associated with lower perceived self-efficacy, fewer positive emotions, and less optimism.

The goal was to investigate the association of economic opportunism with self-efficacy, optimism, and positive emotion. It was hypothesized that economic opportunists should experience lower self-efficacy, less positive thinking, and less optimism. Study 1 (N = 206) showed that economic opportunism was negatively correlated with self-efficacy, optimism, and positive affect, and positively correlated with negative affect. Study 2 (N = 128) indicated that individuals reporting higher self-efficacy were less likely to defect on their counterparts in a game situation. These findings show the negative association of opportunistic propensity with self-efficacy and positive emotions. Implications for experimental research on economic opportunism and positive emotions are discussed.