Disruptive Life Events Research Articles

Changes in tripartite dimensions of anxiety and depression in emerging adults before and during COVID-19

Objective Using the tripartite model of anxiety and depression, we examined general distress (common to anxiety/depression), anxious arousal (uniquely anxiety), and anhedonic depression (uniquely depressive) symptoms before and during the pandemic in emerging adults, who may experience higher levels of distress as a result of the COVID-19 pandemic relative to others. Participants Emerging adults (n = 89, 53% White) ages 18-24, participated in four data waves (Baseline: Fall 2017-Fall 2018; January 2020; July 2020; January 2021). Methods We estimated covariance pattern models with various patterns of residual correlation, (selecting the best-fitting structure) and patterns of change (i.e., stable, linear, and quadratic). Results Scores in all tripartite dimensions were elevated at baseline; anxious arousal remained elevated, while depression-specific symptoms decreased over time. Conclusions Findings contribute to a fine-grained approach to understanding emotional distress relating to the COVID-19 pandemic, proving potentially useful in conceptualizing the mental health of emerging adults in relation to disruptive life events.

Longitudinal relationships between early-life homelessness and school-aged asthma and wheezing

BackgroundHomelessness is a disruptive life event with profound impacts on children’s health. It remains unclear, however, whether homelessness in early life has an enduring association with asthma and wheezing among...

Identity Development and Disruption in Older Adults During COVID-19: A Longitudinal, Mixed-Methods Study.

Disruptive life events, such as the coronavirus disease 2019 (COVID-19) pandemic, may trigger adjustment and revision of older adults' identities. This mixed-methods study explored how older adults perceived their identities changing as a result of the pandemic, and how such identity dynamics related to pandemic-related events and well-being. Participants included 2,248 older adults who participated in the longitudinal COVID-19 Coping Study spanning from April/May 2020 to April/May 2021. Mean age was 67.8 years, 70% were women, and 93% were White. We used qualitative thematic analysis to identify the ways the pandemic affected participants' identities. We then investigated the association between identity themes and testing positive for COVID-19, having a friend or family member hospitalized or dying due to COVID-19, or being vaccinated. Finally, we tested whether identity disruption was associated with 12-month trajectories of well-being (including life satisfaction, loneliness, depressive symptoms, anxiety, and self-rated health) using latent growth curve models. Some participants reported positive identity themes, such as rethinking and revising priorities and realization of strength and resilience. Others indicated harmful effects, including identity disruption. Individuals reporting identity disruption had worse well-being at baseline and remained consistently worse over time. Findings highlight that identity remains malleable in later life and that stressful events like the COVID-19 pandemic may trigger positive adaptive identity processes, but can also cause identity disruption that is associated with persistently worse well-being over time.

Conservation-Based Estate Planning: Toward a Sustainable Future for Private Lands

Landowners who seek to manage ownership transitions while preserving conservation-related values must engage in the notoriously complex process of estate planning. Most scholarship on conservation-based estate planning has been undertaken from landowner perspectives, seeking to understand why some succeed whereas others do not. Here, we expand this scholarship by including perspectives from professional planners. Combining their insights with past literature, we offer a framework of conservation-based estate planning that describes and normalizes key elements within stages of the process. Interview results emphasized the unique needs of conservation-based estate planning around non-monetary values, the relational nature of the planning process, and the temporal challenges and disruptive life events landowners commonly confront while planning. Our findings synthesize the extant literature, raise questions and needs for future work, and empower landowners, planners, and natural resource professionals to persevere through this difficult process and achieve their conservation-related goals from which we all benefit.

Long-Term Effects of a Real-World Multi-Skill Intervention on Older Adults’ Growth Mindset

Although there have been interventions to increase growth mindset, little is known about their effectiveness over a longer period, especially for older adults. This study with older adults investigated the long-term effects of a learning intervention that included growth mindset lectures and discussions on growth mindset. In Study 1 ( n = 27), participants were tracked for one year after a 12-week intervention. We found that an increased growth mindset did not last beyond the intervention. In Study 2 ( n = 71), the COVID-19 pandemic interrupted the intervention after only two months. Participants were followed up for two years, and their growth mindset at one year was greater than at the pretest (Week 0) but declined from the 1- to 2-year follow-up. Taken together, interventions incorporating growth mindset messages can increase growth mindset in the short term but may require booster sessions to retain effects, especially during disruptive life events.

Effects of sleep on breakfast behaviors in recently unemployed adults

ObjectivesSkipping meals is linked to negative cardiometabolic health outcomes. Few studies have examined the effects of breakfast skipping after disruptive life events, like job loss. The present analyses examine whether sleep timing, duration, and continuity are associated with breakfast eating among 186 adults who recently (past 90 days) experienced involuntary unemployment from the Assessing Daily Activity Patterns Through Occupational Transitions (ADAPT) study. MethodsWe conducted both cross-sectional and 18-month longitudinal analyses to assess the relationship between actigraphic sleep after job loss and breakfast eating. ResultsLater sleep timing was associated with a lower percentage of days breakfast was eaten at baseline (B = −0.09, SE = 0.02, P < .001) and longitudinally over 18 months (estimate = −0.04; SE = 0.02; P < .05). No other sleep indices were associated with breakfast consumption cross-sectionally or prospectively. ConclusionsUnemployed adults with a delay in sleep timing are more likely to skip breakfast than adults with an advancement in sleep timing. Future studies are necessary to test chronobiological mechanisms by which sleep timing might impact breakfast eating. With the understanding that sleep timing is linked to breakfast eating, the advancement of sleep timing may provide a pathway for the promotion of breakfast eating, ultimately preventing cardiometabolic disease.

The expression of ultimate life goals in co-creative art processes with palliative cancer patients

Background Co-creation, characterized by artists and patients creating a joint work of art, may support patients with the integration of disruptive life events into their life story, such as living with cancer. Focusing on experiences of contingency and life goals could support this process. The research questions are: (1) ‘how are patient’s ultimate life goals and experiences of contingency expressed in the work of art as created in a process of co-creation?’; (2) ‘how do the four phases of integration of experiences of contingency unfold during co-creation?’MethodsTen patients who were in a palliative stage of cancer treatment completed co-creation processes. Audio recordings of these co-creation processes were imported in Atlas-Ti and analysed by applying directed content analysis. We searched for life goals and experiences of contingency in the four phases of co-creation; Art communications, Element compilation, Consolidation, Reflection.ResultsPatients used 4–8 sessions (median 5 sessions) with a duration of 90–240 min each (median duration 120 min). All patients expressed their experience of contingency and their ultimate life goals within the four phases of co-creation and in their work of art. A case description is presented illustrating the co-creation process.ConclusionsDuring co-creation, patients move through four phases in which experiences of contingency and ultimate life goals can be made explicit through art making and can be expressed in the work of art, supporting integration of experiences of contingency into one’s life narrative.

Beyond clinical outcomes: Case control study of the role of race in disruptive life events for people with serious mental illness

ObjectiveTo understand how race and serious mental illness (SMI) interact for disruptive life events defined as financial (bankruptcy and judgement filings), and non-financial (arrests). MethodsPatients were adults with schizophrenia (SCZ; N = 16,159) or bipolar I disorder (BPI; N = 30,008) matched 1:1 to patients without SMI (non-SMI) from health systems in Michigan and Southern California during 1/1/2007 through 12/31/2018. The main exposure was self-reported race, and the outcome was disruptive life events aggregated by Transunion. We hypothesized that Black patients with SCZ or BPI would be the most likely to experience a disruptive life event when compared to Black patients without SMI, and all White or Asian patients regardless of mental illness. ResultsBlack patients with SCZ had the least likelihood (37% lower) and Asian patients with BPI had the greatest likelihood (2.25 times higher) of experiencing a financial disruptive life event among all patients in the study. There was no interaction of race with either SCZ or BPI for experiencing an arrest. The findings did not support our hypotheses for patients with SCZ and partially supported them for patients with BPI. ConclusionsClinical initiatives to assess social determinants of health should consider a focus on Asian patients with BPI.

Long ties, disruptive life events, and economic prosperity

Social networks shape and reflect economic life. Prior studies have identified long ties, which connect people who lack mutual contacts, as a correlate of individuals' success within firms and places' economic prosperity. However, we lack population-scale evidence of the individual-level link between long ties and economic prosperity, and why some people have more long ties remains obscure. Here, using a social network constructed from interactions on Facebook, we establish a robust association between long ties and economic outcomes and study disruptive life events hypothesized to cause formation of long ties. Consistent with prior aggregated results, administrative units with a higher fraction of long ties tend to have higher-income and economic mobility. Individuals with more long ties live in higher-income places and have higher values of proxies for economic prosperity (e.g., using more Internet-connected devices and making more donations). Furthermore, having stronger long ties (i.e., with higher intensity of interaction) is associated with better outcomes, consistent with an advantage from the structural diversity constituted by long ties, rather than them being weak ties per se. We then study the role of disruptive life events in the formation of long ties. Individuals who have migrated between US states, have transferred between high schools, or have attended college out-of-state have a higher fraction of long ties among their contacts many years after the event. Overall, these results suggest that long ties are robustly associated with economic prosperity and highlight roles for important life experiences in developing and maintaining long ties.

Assessment of Disruptive Life Events for Individuals Diagnosed With Schizophrenia or Bipolar I Disorder Using Data From a Consumer Credit Reporting Agency

There is a dearth of population-level data on major disruptive life events (defined here as arrests by a legal authority, address changes, bankruptcy, lien, and judgment filings) for patients with bipolar I disorder (BPI) or schizophrenia, which has limited studies on mental health and treatment outcomes. To conduct a population-level study on disruptive life events by using publicly available data on disruptive life events, aggregated by a consumer credit reporting agency in conjunction with electronic health record (EHR) data. This study used EHR data from 2 large, integrated health care systems, Kaiser Permanente Southern California and Henry Ford Health. Cohorts of patients diagnosed from 2007 to 2019 with BPI or schizophrenia were matched 1:1 by age at analysis, age at diagnosis (if applicable), sex, race and ethnicity, and Medicaid status to (1) an active comparison group with diagnoses of major depressive disorder (MDD) and (2) a general health (GH) cohort without diagnoses of BPI, schizophrenia, or MDD. Patients with diagnoses of BPI or schizophrenia and their respective comparison cohorts were matched to public records data aggregated by a consumer credit reporting agency (98% match rate). Analysis took place between November 2020 and December 2022. The differences in the occurrence of disruptive life events among patients with BPI or schizophrenia and their comparison groups. Of 46 167 patients, 30 008 (65%) had BPI (mean [SD] age, 42.6 [14.2] years) and 16 159 (35%) had schizophrenia (mean [SD], 41.4 [15.1] years). The majoriy of patients were White (30 167 [65%]). In addition, 18 500 patients with BPI (62%) and 6552 patients with schizophrenia (41%) were female. Patients with BPI were more likely to change addresses than patients in either comparison cohort (with the incidence ratio being as high as 1.25 [95% CI, 1.23-1.28]) when compared with GH cohort. Patients with BPI were also more likely to experience any of the financial disruptive life events with odds ratio ranging from 1.15 [95% CI, 1.07-1.24] to 1.50 [95% CI, 1.42-1.58]). The largest differences in disruptive life events were seen in arrests of patients with either BPI or schizophrenia compared with GH peers (3.27 [95% CI, 2.84-3.78] and 3.04 [95% CI, 2.57-3.59], respectively). Patients with schizophrenia had fewer address changes and were less likely to experience a financial event than their matched comparison cohorts. This study demonstrated that data aggregated by a consumer credit reporting agency can support population-level studies on disruptive life events among patients with BPI or schizophrenia.

The effect of the COVID-19 pandemic on infant development and maternal mental health in the first 2years of life.

We investigated how exogenous variation in exposure to the COVID-19 pandemic during the first year of life is related to infant development, maternal mental health, and perceived stress. Ninety-three socioeconomically diverse pregnant women were recruited before the pandemic to participate in a longitudinal study. Infants ranged in age at the beginning of lockdown (0-9.5months old), thus experiencing different durations of pandemic exposure across the first year of life. The duration of pandemic exposure was not associated with family demographic characteristics, suggesting it captured exogenous variability. We tested associations between this exogenous variation in pandemic exposure and child and family outcomes. We also examined whether mother-reported disruptive life events were correlated with child and family outcomes. We found no association between duration of pandemic exposure in the first year of life and infant socioemotional problems, infant language development, or maternal mental health and perceived stress symptoms, at 12 or 24months. However, we found that self-reported exposure to pandemic-related disruptive life events predicted greater maternal depression, anxiety, and perceived stress at 12months, and greater depression and anxiety at 24months. Socioeconomic status did not moderate these associations. These findings suggest cautious optimism for infants raised during this period.

A secondary analysis examining the performance of the State Optimism Measure (SOM) compared to the Life Orientation Test-Revised (LOT-R) in measuring optimism over time

Objective: Optimism is an important factor impacting health and human functioning. Originally conceptualized as a trait, increasing evidence indicates that optimism can change over time and could be an intervention target. Measures are needed that can capture changes in optimism. Design: In this secondary analysis, we compared the performance of a newly developed state measure, the State Optimism Measure (SOM), to the widely used trait measure, the Life Orientation Test-Revised (LOT-R), in detecting changes over time during a disruptive life event: the onset of the COVID-19 pandemic in the United States. Main Outcome Measures: Participants (n = 81) were nondaily smokers participating in a smoking cessation intervention, who completed the SOM and LOT-R before and after the initial COVID-19 outbreak. Results: Optimism declined from pre- to post-COVID-19 outbreak, as assessed by both scales (LOT-R: p=.0147,g av=0.23; SOM: p<.0001,g av=0.56). The change detected was greater when measured by the SOM (p<.0001). Changes in optimism were correlated with concurrent changes in perceived stress, positive affect, and negative affect. Conclusion: Our results suggest that the SOM has a greater sensitivity to detect within-person changes in optimism than the LOT-R and highlight the SOM’s utility for longitudinal studies assessing changes in optimism.

The Impact on Parents of Diagnosing PCD in Young Children.

Primary ciliary dyskinesia (PCD) is an incurable, rare, inherited, chronic condition. Treatment includes the regular clearing of airway mucus, aggressive treatment of infections and management of hearing loss. Caregiver burden has not been explored, hence we interviewed 18 mothers and 6 fathers of children under 6 years to understand the impact of diagnostic testing and implications of a positive diagnosis. Interviews were transcribed and thematically analysed and five key themes were identified. These included the parents’ experiences following child’s diagnosis, impact of child’s treatment regimen on parent, impact of child’s health status on parent, parent’s coping strategies, and parental concerns for the future. Parents described their diagnostic journey, with the findings revealing how a lack of awareness among clinicians of the PCD symptom pattern can lead to a delayed diagnosis. Parents discussed the emotional and practical impact of a PCD diagnosis and the coping strategies employed to deal with challenges arising following a diagnosis. Parents use a variety of different lifestyle changes to accommodate their child’s treatment regimen and to cope with disruptive life events such as the COVID-19 pandemic. This study provides valuable insights into parental adjustment and adaptation to a PCD diagnosis and management regimen. Going forward, this research highlights the need for integrated social care for PCD patients and their families.

P9 Social Determinants of Health and Disruptive Life Events Among Patients with Schizophrenia or Bipolar Disorder

P9 Social Determinants of Health and Disruptive Life Events Among Patients with Schizophrenia or Bipolar Disorder

International students on the edge: The precarious impacts of financial stress

International students are an important global cohort of ‘noncitizens’ whose experiences are central concerns for urban sociologists and migration scholars. Drawing on survey fieldwork conducted among international students in the private rental sector in Sydney and Melbourne during 2019, this article provides new knowledge about the hardships experienced by international students who report financial stress. Using a modified scale developed by the Australian Bureau of Statistics, we highlight the accelerating role of high levels of financial stress in producing disruptive events such as housing evictions and fears of homelessness, as well as reliance on inadequate housing like ‘hot-bedding’. Financial stress is significantly more likely for students from low-GNI (gross national income) countries and higher stress reduces wellbeing. Access to paid employment, however, does not ‘protect’ against higher financial stress. We conclude that higher education policymakers need tools and policies to prevent disruptive life events among international students related to financial stress, particularly those associated with housing.

Memorable Messages as Anticipatory Resilience: Examining Associations among Memorable Messages, Communication Resilience Processes, and Mental Health

ABSTRACT Memorable messages oftentimes are associated with hope, can foster anticipatory resilience prior to the experience of disruptive events, and can buffer the negative impact of adverse experiences on mental health. However, associations among memorable messages, engagement in resilience processes, and mental health have not been examined. Drawing from the communication theory of resilience (CTR), analyses of data from 262 Chinese adults suggested that memorable messages provided a sense of agency and pathways – two interrelated but distinct components of dispositional hope – and functioned as a form of anticipatory resilience that was positively associated with outcomes of coping with disruptive life events including mental health, posttraumatic growth, and meaning in life. These associations were mediated by the extent to which individuals engaged in change- and continuity-related resilience processes as outlined in CTR. Findings offer theoretical implications for memorable message and resilience research as well as practical implications for communicative strategies that can cultivate anticipatory resilience, promote positive adaptation, learning, and reflection, and mitigate the negative effects that disruptive events can have on mental health.

Abortion: Life-Course Stages and Disruptive Life Events

AbstractPregnancy termination and its interplay with critical life stages and events has rarely been subjected to careful scrutiny in the social sciences, mainly due to a lack of high-quality survey data. Using the first eleven waves (2008–2018) of the German Family Panel Study (pairfam) and employing linear probability models, we examine women and also men with partners who either had induced abortion (N=260 women; N=170 men) or became parents (N=1478 women; N=1220 men). We frame abortion as a social process in which life circumstances and disruptive life events fundamentally shape the decision to carry a pregnancy to term or to discontinue it. We find that teenage or late pregnancy, educational enrollment, previous children, partnership dissolution, and economic uncertainty are associated with induced abortion. Our evidence suggests that abortion decisions are powerfully shaped by life-course contingencies and their complex intertwining.

Emplotting anticipatory resilience: An antenarrative extension of the communication theory of resilience

ABSTRACT This work extended the communication theory of resilience by examining how individuals construct anticipatory resilience through narratives of disruptive life events. Guided by postmodern antenarrative theory, we analyzed the emplotment of 25 individuals’ narratives of disruptive events to understand how participants make sense of these events and prospectively craft resilience as storied logics of the future. The findings challenged extant resilience theorizing by centering narrative incoherence and conceiving of anticipatory resilience as a communicated logic of the future rather than as discursive-material resource. The analysis also suggested theoretical implications for this reframed understanding of anticipatory resilience and narrative incoherence as a site for critical investigation of resilience processes.

When death strikes early as often will: How counsellors and schools can support grieving pupils and students

Death is inevitable and universal, and the corona virus disease has only further intensified a world of uncertainties as a result of frequent accidents, HIV/AIDS, cancer and natural disasters. Bereavement after any death is a potentially disruptive life event with consequences in physical and mental health, relationships and social functioning. Death is a rather odd, thought-provoking and challenging experience, particularly in the lives of children and adolescents. Death of parent/s, sibling, relative/s, teacher, classmate or friend is a relatively new and challenging phenomenon. Persons working with pupils and students, including teachers, counsellors, school chaplain and social workers, need to be prepared to offer help to those who experience bereavement. Death is unpredictable and may occur naturally, suddenly, or traumatically. In several instances, help is sometimes required in advance of bereavement in that the death may be anticipated such as instances of prolonged illness or following a fatal accident. In all cases, the role of the teacher and counsellor in the school is pivotal in supporting pupils and students who have been bereaved. This paper highlights the need to impart post-traumatic growth in bereft pupils and students in schools in order to cope with bereavement.

Starting a new life in the South? Swiss, Dutch and Flemish ageing in Morocco: a lifecourse perspective

AbstractThis article focuses on European migrants living in Morocco and now near retirement or retired. Using a lifecourse approach we are interested in whether their timing of migration to Morocco made a difference in terms of their motivations to settle there and subsequently with the social relationships at the destination. To this end, we conducted 36 biographical interviews with Swiss, Dutch and Belgian Flemish migrants aged 50 and older. Findings show the relevance of a lifecourse perspective for international migration studies. Early adulthood migrants to Morocco had no strong obligations in their home country and were ready to explore new affective or professional experiences in a new country. They had the time to discover and find a place in Moroccan society and to develop long-lasting social relationships with kin and non-kin. Middle-adulthood migrants moved with the intention of rapidly accessing a higher standard of living thanks to the tourism economy, with hedonistic perspectives in a setting with a better climate. Their social life is limited to interaction with business clients and a few like-minded migrants from Europe, and their communication with personnel is a daily challenge. Most late-in-life migrants experienced disruptive life events before migrating, and expected to find in Morocco a second chance to build a better life. They generally move in select circles of European expatriates.