High Levels Of Psychological Distress Research Articles

Exploring the Feasibility and Acceptability of an Online Arts-Based Mindfulness Program for Adolescent Mothers

ABSTRACT Adolescent mothers experience high levels of psychological distress due to social disadvantage, adversities, and limited supports. These issues were exasperated by the requirement of pandemic stay-at-home orders and the closing of in-person programs and services. Given the risks associated with adolescent mothering and the impact on their children’s developmental functioning, it is imperative that intervention programs are implemented to support these young mothers. There is a dearth of research that explores the feasibility of using online programming with adolescent mothers. This article describes our experiences delivering an arts-based mindfulness program online to adolescent mothers during the COVID-19 pandemic. Several challenges were encountered with respect to engagement and facilitation including high attrition rates and numerous disruptions during programming. Although the participants were motivated and interested in the program, they experienced numerous barriers to attendance and participation. Challenges with respect to technology, parenting, and family life significantly impacted the feasibility of online delivery. Future studies could attempt to address the social inequalities experienced by adolescent mothers to improve engagement and the effectiveness of online programs.

Psychosocial crisis intervention for coronavirus disease 2019 patients and healthcare workers.

Shelter hospital was an alternative way to provide large-scale medical isolation and treatment for people with mild coronavirus disease 2019 (COVID-19). Due to various reasons, patients admitted to the large shelter hospital was reported high level of psychological distress, so did the healthcare workers. This study aims to introduce a comprehensive and multifaceted psychosocial crisis intervention model. The psychosocial crisis intervention model was provided to 200 patients and 240 healthcare workers in Wuhan Wuchang shelter hospital. Patient volunteers and organized peer support, client-centered culturally sensitive supportive care, timely delivery of scientific information about COVID-19 and its complications, mental health knowledge acquisition of non-psychiatric healthcare workers, group activities, counseling and education, virtualization of psychological intervention, consultation and liaison were exhibited respectively in the model. Pre-service survey was done in 38 patients and 49 healthcare workers using the Generalized Anxiety Disorder 7-item (GAD-7) scale, the Patient Health Questionnaire 2-item (PHQ-2) scale, and the Primary Care PTSD screen for the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (PC-PTSD-5). Forty-eight healthcare workers gave feedback after the intervention. The psychosocial crisis intervention model was successfully implemented by 10 mental health professionals and was well-accepted by both patients and healthcare workers in the shelter hospital. In pre-service survey, 15.8% of 38 patients were with anxiety, 55.3% were with stress, and 15.8% were with depression; 16.3% of 49 healthcare workers were with anxiety, 26.5% were with stress, and 22.4% were with depression. In post-service survey, 62.5% of 48 healthcare workers thought it was very practical, 37.5% thought more practical; 37.5% of them thought it was very helpful to relief anxiety and insomnia, and 27.1% thought much helpful; 37.5% of them thought it was very helpful to recognize patients with anxiety and insomnia, and 29.2% thought much helpful; 35.4% of them thought it was very helpful to deal with patients' anxiety and insomnia, and 37.5% thought much helpful. Psychological crisis intervention is feasible, acceptable, and associated with positive outcomes. Future tastings of this model in larger population and different settings are warranted.

'Women in the front': Psychological impact of the COVID-19 pandemic: Depression, anxiety, loneliness, and somatization in the Israel population.

The COVID-19 pandemic has generated a high level of psychological distress in the general population. The aims of this study were to examine the mental health of men and women in the general population in Israel during the first lockdown. The sample comprised 587 participants (426 females and 161 males), whose age ranged between 16 and 85. They completed the Patient Health Questionnaire-4 (PHQ-4), the Psychosomatic Symptoms Scale, and the Connor-Davidson Resilience Scale (CD-RISC2). Psychological distress was expressed in our measures of depression, anxiety, loneliness, and somatization, in conjunction with high resilience. Women exhibited higher levels of these symptoms than men—but this fluctuates with age, and can match the levels of these symptoms reported by men. Specifically, no difference between the genders was found for loneliness, in age groups 24–39 and 56–85; and for depression, in age groups 40–55 and 56–85. For somatization, the difference is reversed for age group 56–85. In contrast, while women generally scored lower than the men for resilience, this was specifically for age group 16–23. Our findings suggest that young women report more mental health problems, and that men and women may be differentially vulnerable to disaster-related stressors, such as experienced during the pandemic.

High rates of psychological distress, mental health diagnoses and suicide attempts in people with chronic kidney disease in Ireland.

People with chronic kidney disease (CKD) experience high levels of psychological distress, which is associated with higher mortality and adverse health outcomes. Little is known about the rates of a range of mental health difficulties or rates of suicide attempts in people with CKD. Individuals with CKD (n=268; age range 18-94years, mean=49.96years) on haemodialysis (n=79), peritoneal dialysis (n=46), transplant recipients (n=84) and who were not on renal replacement therapy (RRT; n=59) were recruited through the Irish Kidney Association social media pages and three Irish hospitals. Participants completed surveys to gather demographics and mental health histories, the Hospital Anxiety and Depression Scale (HADS) and the 12-item Short Form Health Survey (SF-12) to measure health-related quality of life (HRQoL). A total of 23.5% of participants self-reported they had received a mental health diagnosis, with depression (14.5%) and anxiety (14.2%) being the most common, while 26.4% of participants had experienced suicidal ideation and 9.3% had attempted suicide. Using a clinical cut-off ≥8 on the HADS subscales, current levels of clinically significant anxiety and depression were 50.7% and 35.4%, respectively. Depression levels were slightly higher for those on haemodialysis compared with those with a transplant and those not on RRT. Depression, anxiety and having a mental health diagnosis were all associated with lower HRQoL. People with CKD in Ireland experience high levels of psychological distress, mental health difficulties, suicidal ideation and suicide attempts. The identification of and intervention for mental health difficulties in CKD should be prioritised in clinical care.

Examining the link between exercise-specific relational processes and physical activity, psychological distress, and relationship satisfaction among heterosexual and gay male couples.

Despite the important role of romantic relationships in physical activity, little research has examined the role of gender and sexual orientation in exercise-specific relational processes. Utilizing cross-sectional, dyadic data from 462 heterosexual and gay couples, the present study examined how exercise encouragement, exercise discouragement, and frequency of exercise disagreements are related to physical activity, psychological distress, and relationship satisfaction. We included important covariates and examined gender and sexual orientation as moderators. Higher exercise encouragement was associated with more frequent physical activity (for gay men only), lower psychological distress (for women only), and higher relationship satisfaction regardless of gender and sexual orientation. Higher exercise discouragement was associated with more physical activity for all participants and higher levels of psychological distress for gay men only. Finally, more frequent exercise disagreements were associated with more psychological distress for all participants. These findings highlight important implications for physical activity promotion, prevention, and intervention.

Psychological Distress Related to the COVID-19 Pandemic: The Protective Role of Hope.

The COVID-19 outbreak and the worldwide lockdown measures had an impact on the global mental health and psychological well-being of the general population. Several studies attempted to investigate the protective and risk factors for psychological distress related to the pandemic. However, to date, little is known about the role of hope in this context. The aim of this study was to determine the relationship between hope and psychological distress related to the COVID-19 outbreak in the general population. The sample consisted of 504 Pakistani people who completed cross-sectionally the COVID-19 Peritraumatic Distress Index (CPDI) and the Adult Hope Scale (AHS). Bivariate Pearson correlation analysis was run to measure the relationship between hope and psychological distress; hierarchical regression analysis was run to investigate the association between demographics and hope with psychological distress. Higher levels of hope predicted lower levels of psychological distress. Being female, being older, lower level of education, urban residence, being married and living in nuclear family systems were associated with higher levels of psychological distress. The study highlights the protective role of hope on psychological distress related to COVID-19, contributing to knowledge on factors promoting positive mental health during emergency times and providing useful information for implementing effective public health policies and programmes.

Characteristics of clients entering women-only substance use treatment services in New South Wales.

Women experiencing substance use disorders face barriers to treatment, including childcare, stigma and lack of gender/trauma-informed programming. Several non-government organizations in New South Wales run women-only treatment services to address these needs. We aim to assess characteristics of women entering treatment in these services. Data on client characteristics from six women-only non-government organization substance use disorder treatment services in New South Wales between 2014 and 2018 were extracted from a database containing demographics, drug use and treatment characteristics and psychological distress (Kessler-10 scale) of women entering the services. Logistic regression models were used to estimate unadjusted odds ratio and adjusted odds ratio for treatment completion and different drugs on entry. Data were available for 1357 women. Most (91%) episodes were for residential treatment. Women's mean age was 35.4 years (standard deviation = 9.8; range = 17-67). Residential clients tended to be younger than non-residential clients (35.1 vs 38.5 years, p < 0.001). Methamphetamine (43%) and alcohol (32%) were the most reported principal drug of concern. Women (89%) reported high levels of psychological distress (median Kessler-10 scale score = 27.5, range = 10-50), highest for women reporting alcohol as their principal drug. Overall, 43% of episodes resulted in treatment completion, most commonly for women entering residential treatment (45% vs 22%, p < 0.001) and for alcohol treatment (adjusted odds ratio = 1.42; confidence interval = 1.07-1.90; p < 0.001). Women with Kessler-10 scale scores indicating anxiety or depression at treatment entry were less likely to complete treatment than those with lower scores (adjusted odds ratio = 0.56; confidence interval = 0.38-0.80; p < 0.001). Women entering women-only residential treatment tend to be younger and report methamphetamine as principal drug of concern. Women enter treatment with high degrees of psychological distress. Women's services need to ensure their programmes can respond to diverse needs of younger women presenting with methamphetamine use disorder and older women with alcohol use disorder experiencing high levels of psychological distress.

The Impact of the COVID-19 Pandemic on Mental Health Among the General Population: A Narrative Review

The Coronavirus Disease-2019 (COVID-19) has infected millions of people worldwide, resulting in a global burden for long-term care of sufferers. The impact of COVID-19 has affected the mental health of innumerable people. Emotional, psychological, and social well-being are all parts of our mental health, influencing our thoughts, emotions, and behaviours. Additionally, it affects how people respond to stress and make good decisions. For instance, depression raises the risk of a wide range of physical health issues, especially chronic illnesses like diabetes, heart disease, and stroke. The COVID-19 pandemic has infected millions worldwide, leaving a global burden for the long-term care of COVID-19 survivors. Therefore, it is imperative to study the shortterm (post-COVID) and long-term effects of COVID-19, specifically as the local and systemic pathophysiological outcomes of other coronavirus-related diseases (such as Middle East Respiratory Syndrome - MERS and Severe Acute Respiratory Syndrome Coronavirus 2 - SARS-CoV-2) have been well-documented. Mental health was evaluated using four psychological measurement scales to assess fear of COVID-19, depression, general anxiety, and post-traumatic stress. The worldwide social and economic upheaval has resulted in the worst recession since the Great Depression. The Impact of Event Scale-Revised and the Depression, Anxiety, and Stress Scale can be used to evaluate the psychological impact and mental health status. The main themes include the biology of stress and the effect of infection on the brain. Adversity can cause anatomical and functional changes in the brain. Although cortisol, for example, can alter brain architecture, tolerable stress is mitigated by protective systems and interpersonal connections that promote adaptive coping. The risk of physical and mental illness, as well as cognitive decline, may increase due to toxic stress, which is often caused by prolonged activation. From a behavioural standpoint, it is essential to understand burnout, compassion fatigue, grief, and other psychological processes and strategies in the context of the COVID-19 pandemic. COVID-19 has adversely affected the mental states of people. The COVID-19 pandemic is associated with significantly high levels of psychological distress that meet the threshold for clinical relevance. Mitigating the harmful effects of COVID-19 on mental health is an international public health priority

Interest in and Barriers to Practicing Yoga among Family Caregivers of People with Cancer.

Family caregivers of people with cancer report high levels of psychological distress. Yoga, with well-documented mental health benefits, could be a useful intervention to address distress in this population. However, little is known about yoga practices among cancer caregivers. The present study evaluates their interest in and barriers to yoga practice. We conducted a cross-sectional survey study of family caregivers of cancer patients at five suburban satellite locations of an academic cancer center. Survey items and statistical analyses focused on yoga usage as well as interest in and barriers to yoga practice. Among 539 participants, most were females (64.8%), white (84.2%), and caring for a spouse or partner (54.7%). Interest in practicing yoga among study participants was 42.3%. Increased interest was independently associated with being females (odds ratio [OR] = 3.30, 95% confidence interval [CI] = 1.98-5.51, P < 0.001) and employed (part-time: OR = 2.58, 95% CI = 1.1-6.18, P = 0.03; full-time: OR = 1.77, 95% CI = 1.1-2.01, P = 0.02). Few participants (6.3%) were currently practicing yoga, although 31% had done so in the past. Sixty-one percent of those who had practiced before their loved one's diagnosis stopped practicing yoga afterward. Commonly cited barriers to yoga practice included time constraints (37.3%) and psychological obstacles (33.6%). About a quarter of those who had never practiced yoga lacked awareness of yoga's benefits (26.6%). Despite the low use of yoga, interest in practicing was moderately high, especially among women and employed caregivers. As caregivers face numerous barriers to yoga practice, strategies are needed to overcome these barriers and help them access yoga's health benefits.

A therapist-guided internet-based cognitive behavioral therapy program for Hong Kong university students with psychological distress: A study protocol for a randomized controlled trial

BackgroundUniversity students are at high risk of various mental health problems due to high levels of psychological distress. However, university counseling services are often inadequate to meet their mental health needs due to shortage of mental health professionals, especially in Hong Kong. Internet-based cognitive behavioral therapy (iCBT) has shown similar effects as those of face-to-face CBT in addressing these mental health concerns, but few iCBT programs have been developed for Hong Kong university students. ObjectiveThis study protocol aims to develop and evaluate a culturally and linguistically appropriate iCBT program called “REST Online” to reduce the psychological distress and improve the mental health of Chinese university students in Hong Kong in a randomized controlled trial (RCT). MethodThe contents and functionality of the “REST Online” program which includes both web- and app-based versions, are described. A blended mode of service delivery is adopted, with 8 online modules and 2 counseling sessions. Therapist support will be provided by a CBT therapist. A total of 338 Chinese university students with mild to moderate levels of psychological distress will be openly recruited and randomized to three groups: the (1) web-based and (2) app-based “REST Online” groups, and (3) waitlist control group. The program effectiveness is evaluated in psychological distress, depression and anxiety symptoms, and positive and negative emotions and positive and negative thoughts at pre-, post- and 3-month follow-up tests. Linear mixed effect models will be conducted for data analysis. DiscussionThe “REST Online” program is among the first of its kind to address the mental health needs of Hong Kong university students by an internet intervention. Theoretically, this study will provide some empirical evidence for the effectiveness of this iCBT program in the Hong Kong context for Chinese clients. Practically, if proven effective, this program can be provided to local university counselors as an option for service delivery. Strengths and limitations are also discussed.

PREVALENCE OF DEPRESSION ANXIETY AND STRESS AMONG ORPHAN YOUNG ADULTS LIVING IN BAHAWALPUR: GENDER AND SOCIO-ECONOMIC STATUS ARE IN FOCUS

Current research was carried out to investigate the level of depression, anxiety and stress among orphan young adults living in Bahawalpur City. The core aim of the research was to compare these variables among orphans in connection with their socio-economic status and gender. To collect the responses from the orphans DASS-21 scales was administered on (N=200) orphans via purposive sampling. This was a quantitative research with cross-sectional research design. The results from the collected data depicted a significant high level of psychological distress among the orphans belonging from middle class socio-economic status. This also depicted that the level of stress and depressiveness were higher in male orphans instead of female orphans. Furthermore, on the basis of the results it concludes that parental loss is a worse stressful life event to which no one can cope. It is long lasting mental stressor. Hence, the orphan needs social support from others. The results of this study are a message for authorities, psychologists and educationists to provide social help or support program to heal the stress, anxiety and depression of the orphans. Keywords: Stress, Depression, Anxiety, Orphan etc.

Perceived Threat of Terrorism, Stress Appraisal and Psychological Distress in College and University Students

The study aims to investigate the relationship of perceived threat of terrorism, stress appraisal and psychological distress in College and University students. Four hundred students of ages 19 to 22 years (M = 20.01, SD = 1.05) were recruited from different Colleges and Universities of Lahore. The research protocol consisted of Terrorism Catastrophizing Scale (Sinclair &amp; LoCicero, 2007), Stress Appraisal Measure (Peacock &amp; Wong, 1990) and Impact of Event Scale-Revised (Horowitz et al., 1979). The data was analyzed by using Pearson product moment correlation and multiple regression analysis. The findings revealed that threat challenge, centrality, uncontrollable and stressfulness(subscales of stress appraisal) had significant positive relationship with helplessness, rumination, psychological distress, intrusion, avoidance and arousal (subscales of psychological distress), negative relationship of perceived threat of terrorism with appraisal of challenge, controllability by self and controllability by other. Moreover, the results showed that threat, centrality and rumination were significant positive predictors of psychological distress. Findings of the study will help in developing interventions for students who feel high level of psychological distress because of perceived threat of terrorism.

Psychological distress among parents of children with obstetric brachial plexus injury visiting pediatric departments

Obstetrical brachial plexus injury (OBPI) is a severe nerve injury that is destructive with expected lifelong repercussions among affected children. A child with morbidity can affect a family in several ways, encompassing social, relational, financial, and emotional states. However, such effects on households remain mostly unrecognized, where the focus remains solely on the child’s health or his/her treatment endeavors, with little attention given to the parent's emotional state. Therefore, this study aimed to measure psychological distress among parents of children with OBPI. This descriptive cross-sectional study recruited 100 parents with children aged between 18 months and 16 years under treatment for OBPI who visited different healthcare facilities using a purposive sampling technique. Data were collected by conducting face-to-face interviews. The study used the General Health Questionnaire-12 (GHQ-12) to assess parents’ psychological distress. The positive items were assigned scores from 0 to 3 (i.e., always to never), and the negative items were assigned scores from 3 to 0 (i.e., always to never). The outcome score ranged between 0 and 36, with higher scores indicating a greater likelihood of general psychological distress. Descriptive statistics were calculated to achieve the study objectives. Most children suffering from OBPI were male (64%) rather than female (36%). All positive items of the GHQ-12 questionnaire had an average low score, indicating parents were not feeling reasonably happy, less able to concentrate on their routine work, somewhat incapable of making decisions, and unable to enjoy day-to-day activities. In contrast, negative items had an average high score, indicating that parents constantly felt under strain, could not overcome difficulties, felt unhappy and depressed, and lost confidence. The average GHQ-12 score was 23.47 ± 2.54, depicting a high level of psychological distress among parents of children with OBPI. Our study concluded that parents of children with OBPI are at potential risk of various psychological problems. Therefore, health personnel should be aware of these parents’ psychological adjustment and refer them for psychological support when necessary.

Childhood food insecurity, mental distress in young adulthood and the supplemental nutrition assistance program

Food insecurity affects 14% of US homes with children and has been associated with increased mental health problems. Few studies have examined long-term consequences for mental health and the role of social policies. This study examined the association between childhood household food insecurity (HHFI) and young adult psychological distress, and the moderating role of caregiver psychological distress and the Supplemental Nutrition Assistance Program (SNAP) using data from the Panel Study of Income Dynamics (1995–2015). The sample comprised 2782 children ages 0–12 years in 1997. Past-year HHFI was measured using the USDA 18-item questionnaire in 1997, 1999, 2001 and 2003. Young adults' non-specific psychological distress was measured with the Kessler (K6) scale in 2005, 2007, 2009, 2011, 2013 and 2015. Three trajectories of food insecurity were identified: 1) Persistent food security (70.5%); 2) Intermediate/fluctuating food insecurity (24.6%), and; 3) Persistent food insecurity (4.9%). Compared to persistent food security, fluctuating and persistent food insecurity were associated with significantly higher levels of psychological distress. This association was robust to adjusting for socio-demographic factors, caregiver psychological distress, and family access to governmental supports: [Adj. ORs (95% CI's = 1.72 (1.59–1.85) and 2.06 (1.81–2.33)]. Having a caregiver who suffered from psychological distress (1997 and/or 2002) and growing up with persistent food insecurity placed children at greater risk for mental health problems. Access to SNAP attenuated this risk. Early HHFI is associated with psychological distress in young adulthood. Interventions to increase access to SNAP and address caregivers mental health may prevent mental health problems associated with childhood HHFI.

Behaviour, services and their future estimation towards nCOVID-19 patients in different waves of health care workers

Background: Health care workers (HCWs) presented frequent concerns regarding their health and their families health and high levels of psychological distress during nCOVID19 pandemic, we aimed to estimate towards the future services nCOVID-19 waves like 4th wave in India and their behavior, and services towards the nCOVID-19 Patients and whether HCWs are in more depression or anxiety level.Methods: We developed a questionnaire to study the HCWs. The questionnaire demography and data anxiety, depression behavior consists of 30 questions.Results: high-risk health care workers had elevated stress levels. We sent 200 questionnaires completed questionnaires were returned by 128 (64%) of the participants. Out of which 72 (36%) are incomplete or non-response data. Maximum age is from 30-35 male and 25-30, female age group. Highest number of male age groups from 30 to 35, 25 (37.31%), in case of female age groups from 25-30, 19 (31.15%). Overall, the number of Male 67 (52.34%) and female 61 (47.65%) of the study. From the above descriptive statistics gives that overall average age of female with standard deviation (29.98±6.38), and with overall male, average and standard deviation (32.27±6.60). Median age of female is 27 and Male is 30 years of age. By using the linear regression analysis, we predict the future behaviors and services for upcoming pandemic is very less anxiety and depression with (p&lt;0.001) significant.Conclusions: In conclusion, our study highlights that HCWs are both female and male are predicted less depression and anxiety about the behavior and future pandemic services.

Sources of Social Support, Self-Esteem and Psychological Distress among Chinese Lesbian, Gay and Bisexual People

Objective Minority stressors are associated with increased psychological distress, and social support is considered as a significant protective factor to mitigate the psychological distress in LGB individuals. In China, LGB individuals suffer additional pressure from society and family, but only a few studies have explored the effect of social support on the psychological distress of Chinese LGB individuals and the mechanism underlying the association. The current study aimed to examine the mediating role of self-esteem in the relationship between three sources of social support (from family, friends, and others) and psychological distress in Chinese LGB individuals. Methods 227 LGB individuals (M age = 25.9 years; SD = 5.6) who were voluntarily recruited by a combination of snowballing and targeted sampling strategies. Path analysis was used to test the associations between variables. Results Results indicated that 31.3% of LGB individuals had a high level of psychological distress. The results showed that social support from family, friends, and others was associated with higher levels of self-esteem and lower levels of psychological distress. Only the mediating effect of self-esteem was found between friend support and psychological distress. Conclusions This study demonstrated that friend support might be a protective factor against psychological distress in Chinese LGB individuals, and more friend support could potentially relieve psychological distress by building higher self-esteem. These results highlight the importance of fostering friend support in the group of Chinese LGB individuals.

PSYCHOLOGICAL RESPONSES TO IMPENDING AND PAST LOSS OF A LOVED ONE

Abstract Psychological responses to an impending or recent death have received minimal attention in the research literature. I will present data to demonstrate the high levels of psychological distress (e.g. symptoms of peritraumatic stress, anxiety, depression and grief) reported by caregivers of a loved one with a life-threatening illness. I will report on studies that have examined how grief symptoms change over time, or not, as in the case of symptoms of Prolonged Grief Disorder (PGD) – a new addition to the Diagnostic and Statistical Manual of Mental Disorders -5-Text Revision (DSM-5-TR). A case will then be made for addressing psychological struggles of caregivers of patients who are dying in the intensive care unit (ICU). I will then present a conceptual model and manual of our psychosocial intervention (EMPOWER), which we designed to reduce symptoms of PGD and posttraumatic stress disorder (PTSD) by targeting symptoms of experiential avoidance and promoting adaptive coping.

LATINO FAMILY CAREGIVERS’ EXPERIENCES COVERING OUT-OF-POCKET COSTS WHEN CARING FOR SOMEONE LIVING WITH DEMENTIA

Abstract Family caregivers to persons living with dementia spend an average of $11,293 annually out-of-pocket on caregiving costs. Costs include home modifications, medications, and other daily expenses. Financial strain from caregiving affects caregiver mental and physical health and is unequally distributed across race/ethnicity groups. While other caregivers spend approximately one-quarter of their income on caregiving, the cost for Latinos family caregivers comprises nearly half of annual income. To gain insight into this disparity, eleven 1-hour in-depth qualitative interviews were conducted with Latino caregivers of persons living with dementia living in California and Texas. Interview transcripts were thematically coded, guided by the Tucker-Seeley Material–Psychosocial–Behavioral Model of financial strain. We identified four themes: 1) caregivers were concerned with meeting the daily needs of care recipients and would incur additional costs, such as credit card interest, to address immediate needs; 2) high levels of psychological distress were expressed regarding caregivers paying for the care of loved ones and themselves in the future; 3) caregivers wanted to use community resources that help older adults and their families but described stressful barriers accessing support. Further, Latino culture affected spending. For example, caregivers incurred shared living costs given reluctance to place loved ones in a nursing facility, exemplifying the concept of familismo. By understanding the factors contributing to high caregiving costs for Latino caregivers and the challenges met when addressing these costs, we can build approaches at both the individual- and policy-levels and develop culturally relevant interventions to help Latino families to lower care costs.

IMPACT OF INTERGENERATIONAL SERVICE LEARNING ON PSYCHOLOGICAL DISTRESS FOR HOMEBOUND OLDER ADULTS DURING COVID

Abstract More than 2 million of older adults are homebound and 5 million need help leaving their homes. They often experience social isolation, food insecurity, and lack of connection to community resources, which for many has intensified since the pandemic. To date, home-based services for those aging in place are lacking. Using newly available data, this study examined the benefits of an intergenerational home-based service learning program in reducing psychological distress for a community-based sample of 190 homebound older adults during the COVID-19 pandemic. Multivariate regression analyses were conducted to examine the association of living in one’s own home, disability status, presence of child and spousal caregivers, and length of services from the program with psychological distress. Findings indicated that length of service with the intergenerational in-home support program was associated with lower psychological distress (β = -0.16, p &amp;lt; 0.05). Having a child as a caregiver was associated with lower psychological distress (β = -0.15, p &amp;lt; 0.05). Poor health status was associated with higher levels of psychological distress (β = 0.16, p &amp;lt; 0.05). Living in one’s own home, having a spouse as a caregiver, disability status, and having a long-term medical condition were not associated with psychological distress in the analysis. Results from this study suggest that intergenerational in-home support services can help reduce psychological distress for homebound older adults. Policies and practice can support a pipeline of geriatric health professionals through innovative service learning models to benefit older adults, caregivers, and students.

One size does not fit all: An individualized approach to understand heterogeneous cognitive performance in autistic adults.

Cognitive performances of autistic people vary widely. Therefore, previous group-based comparisons on cognitive aging in autistic adults might have overlooked those autistic adults that are particularly vulnerable for cognitive decline. Multivariate normative comparisons (MNC) statistically assess individual cognitive differences on the entire cognitive profile. Cognitive deviancy as indicated by MNC accurately predicts future cognitive decline, and is therefore sensitive in detecting meaningful cognitive differences. The current study aimed to (1) investigate the applicability of MNC to assess cognitive performance in autism individually, and (2) understand heterogeneous cognitive performance in autistic adults. As pre-registered, we performed MNC in a sample of 254 non-autistic adults, and two independent samples of respectively 118, and 86 autistic adults (20-85 years, mean: 50 years). Cognitive performance was measured on 11 outcomes in six domains (verbal/visual memory, working memory, verbal fluency, Theory of Mind, and psychomotor speed). Using MNC, about twice as many autistic individuals had a deviant cognitive profile (i.e., deviated statistically from the multivariate normspace) as compared to non-autistic individuals. Importantly, most autistic individuals (>80%) did not have a deviant cognitive profile. Having a deviant profile was significantly associated with higher levels of psychological distress in autistic adults specifically, showing the clinical relevance of this method. Therefore, MNC seem a useful tool to individually detect meaningful cognitive differences in autism. These results are consistent with previous cognitive studies suggesting that most autistic adults show fairly similar cognitive profiles to non-autistic adults, yet highlight the necessity for approaches reflecting the heterogeneity observed in autistic people.