Implementing Psychological First Aid for Healthcare Workers During the COVID-19 Pandemic: A Feasibility Study of the ICARE Model.

Maintaining the resilience of healthcare workers (HCWs) during the protracted COVID-19 pandemic is critical as chronic stress is associated with burnout, inability to provide high-quality care, and decreased attentiveness to infection prevention protocols. Between May and July 2020, we implemented the ICARE model of psychological first aid (PFA) in a novel online (i.e., telehealth) format to address the psychological support needs of HCWs during the COVID-19 pandemic. We found that HCWs needed psychological support related to obtaining clear information about pandemic policies and guidelines, navigating new rules and responsibilities, and processing overwhelming and conflicting emotions. The HCWs in our program repeatedly expressed appreciation for the support we provided. Future directions include establishing online discussion forums, increasing opportunities for individual support, and training HCWs to provide peer support using PFA. This program has far-reaching potential benefit to HCWs and to society at large in the context of a pandemic.

Covariations among attachment, attributions, self-esteem, and psychological aggression in early marriage.

The associations between insecure attachment (anxious and avoidant dimensions), maladaptive relational attributions, self-esteem, and psychological aggression were examined in a sample of couples (N = 96 couples) across the early years of marriage. Studying these constructs within a single sample is a novel contribution to the literature. Attachment was assessed at marriage, whereas maladaptive attributions, self-esteem, and psychological aggression were evaluated annually over the first 7 years of marriage. For the present study, specific maladaptive relational attributions about the spouse's hypothetical aggressive behavior were investigated. Data from both spouses were examined simultaneously using growth curve analytic and actor-partner interdependence modeling techniques. Results indicated that self locus attributions (i.e., attributing the cause of the spouse's hypothetical aggressive behavior to the self), intentionality attributions (i.e., attributing the spouse's motivation for the hypothetical behavior as intentional), and self-esteem were predicted by insecure attachment and covaried longitudinally with psychological aggression. Husbands' self-esteem and wives' intentionality attributions were particularly consistent in these associations. The results replicate and extend previous research by examining these constructs using a longitudinal dyadic approach. The findings of this study provide specific targets for intervention efforts to reduce psychological aggression and support conceptualizing psychological aggression within a dyadic and dynamic framework. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Finances, depressive symptoms, destructive conflict, and coparenting among lower-income, unmarried couples: A two-wave, cross-lagged analysis.

Following from an adapted family stress model (FSM), we used two-wave, secondary data from the Building Strong Families project, focusing on 4,424 primarily lower-income, unmarried couples expecting their first child together. We used cross-lagged analyses to test the directionality of the associations among financial difficulties, depressive symptoms, destructive interparental conflict, and coparenting alliance for both fathers and mothers when children were 15 and 36 months old. Two of the three hypotheses provided support for the FSM. First, destructive conflict predicted coparenting alliance (but not the reverse). Specifically, higher destructive conflict at 15 months for both fathers and mothers predicted lower coparenting alliance at 36 months for both fathers and mothers. Second, depressive symptoms predicted destructive conflict (but not the reverse). Specifically, fathers' (but not mothers') higher depressive symptoms at 15 months predicted both their own and mothers' higher destructive conflict at 36 months. Contrary to predictions, financial difficulties did not predict depressive symptoms; instead, we found support for the reverse: For mothers only, higher depressive symptoms at 15 months predicted higher financial difficulties at 36 months. Collectively, the results support the use of the FSM to understand the directionality of associations among key risk factors, especially depressive symptoms and destructive conflict, for primarily lower-income, unmarried couples expecting their first child together. (PsycInfo Database Record (c) 2021 APA, all rights reserved).