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1.
J Patient Rep Outcomes ; 7(1): 46, 2023 05 17.
Article in English | MEDLINE | ID: covidwho-2324311

ABSTRACT

BACKGROUND: COVID-19 put older individuals at high risk for morbidity and mortality, isolation, reduced coping, and lower satisfaction with life. Many older adults experienced social isolation, fear, and anxiety. We hypothesized that successful coping with these stressors would maintain or improve satisfaction with life, a crucial psychological outcome during the pandemic. Our study investigated relationships between older people's coping and life satisfaction during the pandemic and their optimism, sense of mastery, closeness with spouse, family, and friends, and vulnerabilities from frailty, comorbid diseases, memory problems, and dependencies in instrumental activities of daily living (IADL). METHODS: The study was based on a special COVID-19 sample of 1351 community-dwelling older adults who participated in the 2020 Health and Retirement Survey. A comprehensive structural equation modeling was used to test direct and indirect effects, with life satisfaction as the main outcome and coping as a mediator between the other variables and coping. RESULTS: Most survey respondents were female and between the ages of 65-74 years. They averaged 1.7 chronic conditions, one in seven was frail, about one-third rated their memory as fair or poor, and about one in seven reported one or more difficulties in IADL. As hypothesized-older people with increased sense of mastery and optimism were better able to cope and had greater life satisfaction. In addition, close relationships with friends and with other family members besides the spouse/partner or children contributed to more successful coping, while the interpersonal closeness of all types contributed directly to greater life satisfaction. Finally, older people with more IADL limitations reported greater difficulty coping and lower life satisfaction, and those older people who were frail or had multiple comorbid diseases reported lower life satisfaction. CONCLUSIONS: Optimism, sense of mastery and closeness with family/friends promotes coping and life satisfaction, whereas frailty and comorbidities make coping more challenging and lead to lower life satisfaction particularly during a pandemic. Our study improves on prior research because of its nationally representative sample and formal specification and testing of a comprehensive theoretical framework.


Subject(s)
COVID-19 , Frailty , Child , Humans , Female , Aged , Male , Independent Living , Frailty/epidemiology , Pandemics , Activities of Daily Living , COVID-19/epidemiology , Adaptation, Psychological , Personal Satisfaction
2.
Social and Personality Psychology Compass ; 2023.
Article in English | Scopus | ID: covidwho-2301337

ABSTRACT

The COVID-19 pandemic produced multiple stressors that risk relationship conflict and dissatisfaction. We extended prior studies that yielded inconsistent effects of the pandemic on relationships by using propensity score matching to (1) compare levels of relationship conflict and satisfaction during the pandemic (pandemic group;N = 7268) to similar people immediately before the pandemic (matched control group;N = 7268), and (2) compare pandemic groups facing different types of restrictions, beginning with lockdowns involving household isolation to returning to normal life. Results reveal that relationship conflict increased and relationship satisfaction decreased in response to the pandemic, but these effects were very small and primarily occurred in the initial stages of the pandemic when lockdown involved household isolation. The results add to evidence of resilience in personal and relationship well-being in 2020, but also indicate the importance of understanding the effects of varying pandemic-related conditions across the years of the pandemic. © 2023 The Authors. Social and Personality Psychology Compass published by John Wiley & Sons Ltd.

3.
Dissertation Abstracts International: Section B: The Sciences and Engineering ; 84(4-B):No Pagination Specified, 2023.
Article in English | APA PsycInfo | ID: covidwho-2253857

ABSTRACT

Self-silencing (i.e., withholding one's true thoughts and feelings) is a behavior that romantic partners engage in to minimize conflict in their relationships, yet previous research has not directly examined its prevalence nor its effectiveness. Across four studies using multiple methods (total N = 1,601), we found evidence that self-silencing is a common relationship behavior, and one that may be associated with more and worse conflict. Specifically, we established that contrary to widespread lay beliefs in self-silencing's adaptiveness, it is associated with more frequent and more negatively-valenced conflict as well as lower conflict resolution. Furthermore, our findings suggest that lower subjective feelings of relational authenticity may help explain the counterintuitive association between self-silencing and worse conflict outcomes, but also that self-silencing and conflict may be bidirectionally linked. In our final, pre-registered study, we used a longitudinal dyadic approach to investigate couples during the COVID-19 pandemic and found that both actor's and partner's self-silencing were positively associated with conflict in the moment and that partner's self-silencing predicted greater conflict over time. Throughout our studies, we examined the effects of self-silencing alongside related constructs and processes (e.g., self-disclosure, emotional suppression) and found that self-silencing is uniquely associated with conflict. Taken together, these results suggest that when individuals withhold their thoughts and feelings from a romantic partner to avoid arguing in the moment, or when their partners do so, this may be associated with lower relational authenticity and worse conflict outcomes. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

4.
Int J Environ Res Public Health ; 19(16)2022 08 17.
Article in English | MEDLINE | ID: covidwho-2023655

ABSTRACT

Based on the terror management theory (TMT), this study integrated self-esteem and close relationships to explore the effects of group identification on death anxiety. Five hundred and four participants completed the Death Anxiety, Rosenberg Self-Esteem, Social Identity, and Inclusion of Other in the Self scales via online platforms. There were significant correlations among group identification, close relationship, self-esteem, and death anxiety. Group identification had a significant negative predictive effect on death anxiety. Specifically, group identification affects death anxiety through two pathways: the separate mediating role of self-esteem and the serial mediation pathway of close relationships → self-esteem. Our study provides direct evidence that group identification relieves death anxiety. The results showed that the alleviating function of group identification was mediated by self-esteem and close relationships. This study provides a new perspective concerning TMT as a defense mechanism against death anxiety.


Subject(s)
Anxiety , Social Identification , Humans , Self Concept
5.
Social Psychological and Personality Science ; : 14, 2022.
Article in English | Web of Science | ID: covidwho-1928050

ABSTRACT

External stressors can erode relationship quality, though little is known about what can mitigate these effects. We examined whether COVID-related stressors were associated with lower relationship quality, and whether perceived partner responsiveness-the extent to which people believe their partner understands, validates, and cares for them-buffers these effects. When people in relationships reported more COVID-related stressors they reported poorer relationship quality at the onset of the pandemic (N = 3,593 from 57 countries) and over the subsequent 3 months (N = 1,125). At the onset of the pandemic, most associations were buffered by perceived partner responsiveness, such that people who perceived their partners to be low in responsiveness reported poorer relationship quality when they experienced COVID-related stressors, but these associations were reduced among people who perceived their partners to be highly responsive. In some cases, these associations were buffered over the ensuing weeks of the pandemic.

6.
Clin Psychol Sci ; 10(6): 1083-1097, 2022 Nov.
Article in English | MEDLINE | ID: covidwho-1523265

ABSTRACT

For better or worse, the people one lives with may exert a powerful influence on one's mental health, perhaps especially during times of stress. The COVID-19 pandemic-a large-scale stressor that prompted health recommendations to stay home to reduce disease spread-provided a unique context for examining how the people who share one's home may shape one's mental health. A seven-wave longitudinal study assessed mental health month to month before and during the pandemic (February through September 2020) in two diverse samples of U.S. adults (N = 656; N = 544). Preregistered analyses demonstrated that people living with close others (children and/or romantic partners) experienced better well-being before and during the pandemic's first 6 months. These groups also experienced unique increases in ill-being during the pandemic's onset, but parents' ill-being also recovered more quickly. These findings highlight the crucial protective function of close relationships for mental health both generally and amid a pandemic.

7.
Brain Behav Immun ; 99: 339-349, 2022 01.
Article in English | MEDLINE | ID: covidwho-1498906

ABSTRACT

Recent evidence suggests differential patterns of social behavior following an inflammatory challenge, such that increases in inflammation may not uniformly lead to social withdrawal. Indeed, increases in inflammation have been associated with enhanced self-reported motivation to approach a specific close other, and greater neural sensitivity to positive social cues. However, no known studies have examined the association between inflammation in response to an inflammatory challenge and social behavior in humans, nor has past research examined specifically how approach and withdrawal behavior may differ based on whether the target is a close other or stranger. To address this, 31 participants (ages 18-24) received the influenza vaccine to elicit a low-grade inflammatory response. The morning before and approximately 24 h after the vaccine, participants provided a blood sample and completed a computer task assessing automatic (implicit) approach and withdrawal behavior toward a social support figure and strangers. Greater increases in the inflammatory cytokine interleukin-6 (IL-6) in response to the vaccine were associated with an increase in accuracy in avoiding strangers and a decrease in accuracy in approaching them. Increases in IL-6 were also associated with a decrease in reaction time to approach a support figure, but only when controlling for baseline IL-6 levels. There were no associations between change in IL-6 and changes in self-reported motivation to engage in social behavior with either close others, or strangers. Together, these findings reveal that increases in inflammation following the influenza vaccine are associated with automatic social behavior, especially behavior suggesting avoidance of unfamiliar social targets and ease in approaching a support figure. These data add to the growing literature suggesting that the association between inflammation and social behavior includes both social withdrawal and social approach, depending on the specific target.


Subject(s)
Influenza Vaccines , Adolescent , Adult , Humans , Inflammation , Interleukin-6 , Motivation , Social Behavior , Young Adult
8.
Acta Psychol (Amst) ; 221: 103442, 2021 Nov.
Article in English | MEDLINE | ID: covidwho-1482394

ABSTRACT

Healthcare workers play a vital role in the fight against COVID-19. Based on Terror Management Theory (TMT), the present research examined whether a close relationships defense mechanism reduces anxiety among healthcare workers (N = 729) in China. Our results suggest that this defense mechanism, as indexed by relationship satisfaction, serves as an effective terror management source after exposure to reminders of death (MS; mortality salience). These findings extend TMT by identifying two moderating variables: vulnerability and social support. In a low objective vulnerability group, healthcare workers who subjectively believed themselves as less vulnerable to COVID-19 showed a stronger defense mechanism after a MS manipulation as compared to those who felt more vulnerable. Further, healthcare workers with higher levels of social support reported more relationship satisfaction. These findings have practical implications for guiding healthcare workers on how to buffer death-related anxiety and maintain their mental health in the fight against COVID-19.


Subject(s)
COVID-19 , Anxiety , Defense Mechanisms , Health Personnel , Humans , SARS-CoV-2 , Social Support
9.
Curr Opin Psychol ; 43: 189-194, 2022 02.
Article in English | MEDLINE | ID: covidwho-1322056

ABSTRACT

The broad isolation, separation, and loss resulting from the COVID-19 pandemic raise risks for couples' relationship quality and stability. Guided by the vulnerability-stress-adaptation model, we suggest that how pandemic-related loss, isolation, and separation impact couples' relationships will vary depending on the amount and severity of pandemic-related stress, together with enduring personal vulnerabilities (e.g. attachment insecurity), both of which can disrupt adaptive dyadic responses to these challenges. A review of emerging research examining relationship functioning before and during the initial stages of the pandemic offers support for this framework. We draw on additional research to suggest pathways for mitigating relationship disruptions and promoting resilience.


Subject(s)
COVID-19 , Pandemics , Adaptation, Psychological , Humans , Interpersonal Relations , SARS-CoV-2 , Social Isolation
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