Psychosocial Resource Loss Research Articles

Inner-city Youth’s mental health: the relations between resource loss, stressful life events, and psychological distress

ABSTRACT This study explored the susceptibility of inner-city youth to stressful life events. It employed the Conservation of Resources (COR) theory to elucidate the impact of stressful events on their psychological distress. It tested the applicability of the Conservation of Resources Evaluation (COR-E) scale, previously used only on adults, on an inner-city youth sample comprising 309 Israeli adolescents from high-risk urban schools. Participants completed the Stressful Life Events Screening Questionnaire (SLESQ), an adapted version of the COR-E, and the Short Brief Symptom Inventory (BSI-18). Unique resource categories emerged, grounded in the youths’ immediate environment. Positive correlations were established between resource loss and stressful life events, and heightened resource loss was associated with increased psychological distress. The study underscores the utility of the COR framework in comprehending the intricate relationship between psychosocial resource loss and the psychological well-being of inner-city youth.

Violent Assault on a Chinese Man: COVID-19 Psychosocial Resource Loss Diminishes Right Wing Authoritarianism Variability in Societal Reactions.

We examined whether prejudice-related personality characteristics (i.e., right wing authoritarianism [RWA]) and COVID-19–driven psychological resource loss might predict perpetrator-directed punitive responding (i.e., support for criminal charges) to a COVID-19–related attack on a Chinese victim by a White male. Across two studies, participants completed an RWA measure and reported the extent they had experienced COVID-19–related psychosocial resource loss. They then read a passage describing the COVID-19–related physical assault. For both studies, at low resource loss levels, low RWA participants reported greater punitive responding toward the perpetrator than high RWA participants. This RWA–punitive responding association was mediated by greater victim-directed suffering sensitivity (i.e., empathy) for Study 1 and greater anti-perpetrator reactions (i.e., hate crime perceptions) for Study 2. The RWA association with the relevant outcome variables (i.e., suffering sensitivity, anti-perpetrator bias, and punitive responding) was eliminated at high psychological resource loss levels. Specifically, low and high RWA participants reported similar reactions. While previous research has demonstrated that high RWA individuals tend to report greater outgroup-directed prejudicial responses due to COVID-19–driven perceptions of threat, our findings demonstrate that the COVID-19 pandemic can also elicit feelings of resource loss that can diminish the egalitarian reactions typically reported by low RWA individuals. In sum, we demonstrate that experiencing difficult life circumstances such as COVID-19 psychosocial resource loss can diminish supportive reactions toward victimized minority group members even among low RWA participants who are typically expected to be more sensitive to the struggles of those who are disadvantaged.

The role of migration processes and cultural factors in the classification of personality disorders.

Migrants and ethnic minorities are at risk of being under- and overdiagnosed with personality disorders (PDs). A culturally informed approach to the classification of PDs guides clinicians in incorporating migration processes and cultural factors, to arrive at a reliable and valid assessment of personality pathology. In this article, we provide a tentative framework to highlight specific interactions between personality disorders, migration processes, and cultural factors. It is argued that migration processes can merely resemble personality pathology, activate certain (latent) vulnerabilities, and aggravate pre-existing personality pathology. We propose that these migration processes can include manifestations of grief about the loss of pre-migratory psychosocial and economic resources, and the struggle to attain psychosocial and economic resources in the host culture. Moreover, several cultural dimensions are outlined that can either resemble or mask personality pathology. The term "culturally masked personality disorder" is coined, to delineate clinical cases in which cultural factors are overused or misused to rationalize behavioral patterns that are consistently inflexible, distressing, or harmful to the individual and/or significant others, lead to significant impairment, and exceed the relevant cultural norms. Additionally, the role of historical trauma is addressed in the context of potential overdiagnosis of personality disorders in Indigenous persons, and the implications of misdiagnosis in migrants, ethnic minorities, and Indigenous populations are elaborated. Finally, clinical implications are discussed, outlining various diagnostic steps, including an assessment of temperament/character, developmental history, systemic/family dynamics, migration processes, cultural dimensions, and possible historical trauma.

The impact of political violence on posttraumatic stress symptomology: a longitudinal analysis

ABSTRACT Objective The current paper uses the Conservation of Resources Theory to frame an examination of the impact of exposure to political violence on posttraumatic stress symptomology among three groups within Israeli society: (1) Native Born Jews; (2) Foreign Born Jews; and (3) Palestinian Citizens of Israel. Methods The study population was a large nationally representative sample of 1613 respondents collected during The Second Intifada. The sample consists of approximately 40% Jews born in Israel (n = 652), 30% (n = 484) were Jews who immigrated to Israel, and close to 30% (n = 477) were Palestinian Citizens of Israel. Mediation analyses explored the role of resource loss in the relationship between social status and posttraumatic stress disorder (PTSD) symptom severity. Results Compared to native born Jews, foreign born Jews and Palestinian Citizens of Israel reported greater PTSD symptom severity at wave III. These relationships were not mediated by psychosocial resource loss or economic resource loss. Conclusions We discuss the importance of tailored interventions with minority groups in the context of ongoing political violence.

Drilling under the COVID-19 pandemic: A diary study of professional football players' mental health and workout performance.

There is little research examining how individuals’ daily experience during a pandemic affects their daily mental health status and work performance. To address this knowledge gap, we invoke conservation of resources theory to propose a resource‐based framework explaining how individuals’ daily COVID‐19 intrusive experience affects their daily mental health status (depression and anxiety) and work performance via its effect on daily psychosocial resource loss and gain; We further examine whether their supervisors’ daily visionary leadership behaviour alleviates the adverse impacts of daily COVID‐19 intrusive experience. Results, based on daily diary data from 139 football players (or soccer players) at 15 professional football clubs over 5 days during the COVID‐19 pandemic, provided support for our predictions. Our study extends the literature by providing previously undocumented evidence on daily within‐person variations in mental health status and work performance during a pandemic and by offering theory‐driven insights into the mediating and moderating mechanisms involved in within‐person variations.

Resilience after natural disasters: the process of harnessing resources in communities differentially exposed to a flood

ABSTRACT Background: Disasters negatively impact mental health and well-being. Studying how people adapt and recover after adversity is crucial for disaster preparedness and response. Objective: This study examined how differentially affected communities harness their resources to adapt to the aftermath of a flood. We predicted that stronger individual, interpersonal, and community resources protect against psychosocial resource loss and, through that, are related to fewer symptoms of posttraumatic stress and depression and higher life satisfaction. We also predicted that these effects would be stronger in a flooded community, compared to a threatened, but non-flooded community. Method: Participants were randomly sampled community members from two neighbouring municipalities. One municipality was severely flooded during the 2014 floods in South East Europe (affected community, n a = 223), the other was threatened but not flooded (comparison community, n c = 224). Interviews were conducted one and a half years after the disaster using the Connor-Davidson Resilience Scale 10-item version, the Multidimensional Scale of Perceived Social Support, the Community Resources Scale, the Psychosocial Resource Loss Scale, the PTSD Checklist for DSM-5, the Center for Epidemiological Studies Depression Scale Revised and the Satisfaction with Life Scale. Results: Stronger individual, interpersonal, and community resources were found to be related to better post-disaster outcomes directly and indirectly through psychosocial resource loss. In the affected community, interpersonal resources and community social capital and engagement were stronger predictors of positive adaptation. In the comparison community, community economic development and trust in community leadership were more important. Conclusion: This study provides evidence that people affected by disasters can harness their individual, interpersonal, and community resources to recover and adapt. Post-disaster interventions should aim to strengthen family and community ties, thus increasing available social support and community connectedness.

Grief and Posttraumatic Growth Among Chinese Bereaved Parents Who Lost Their Only Child: The Moderating Role of Interpersonal Loss.

Objective: Losing the only child is considered as the most severe kind of bereavement. It can trigger intense grief symptoms along with loss of psychosocial resources, but meanwhile, it can also lead to posttraumatic growth (PTG). The current study aimed to examine (a) whether a curvilinear relationship exists between grief and PTG and (b) the moderating role of resources-loss among Chinese bereaved parents who lost their only child (shidu parents).Methods: One hundred and ninety-nine shidu parents from five provinces completed the assessment packet covering prolonged grief symptoms and PTG, as well as resource loss. Hierarchical regression analyses were computed to examine the curvilinear relationship and the moderating effect of interpersonal loss and socio-economic loss.Results: There was no significant curvilinear relationship between grief and PTG in shidu parents. Under the high levels of interpersonal loss, shidu parents’ PTG scores decreased as the severity of grief increased. However, the socio-economic loss did not show a significant moderating effect.Conclusion: The results of the current study did not show a significant curvilinear relationship between grief and PTG in shidu parents. High levels of grief coupled with high levels of interpersonal loss may interfere with their ability to achieve PTG. Therefore, evaluating degrees of interpersonal loss seems to be an important part of the treatment process when working with shidu parents. To facilitate their adaptation from a positive perspective, helping them maintain existing or develop new interpersonal relationships may be helpful.

Resource Loss and Stress Outcomes in a Setting of Chronic Conflict: The Conservation of Resources Theory in the Eastern Congo.

The purpose of this cross-sectional study was to examine conservation of resources (COR) theory in the context of armed conflict in Africa. Specifically, within the setting of ongoing chronic conflict in the eastern Democratic Republic of the Congo (DRC), we tested the COR theory prediction that resource loss contributes to various stress outcomes. A randomly selected sample of 312 adults (125 men, 187 women) from villages in North Kivu, DRC completed orally administered measures of resource loss, daily stressors, and four stress outcomes: depression symptoms, anxiety symptoms, posttraumatic distress, and general distress. Consistent with COR theory, resource loss predicted all four stress outcomes above and beyond the contribution of demographics, relocation experiences, and daily stressors; however, this effect was small, ΔR2 = .02-.06. The most consistent and strongest predictors of stress outcomes were daily stressors, βs = .42-.62; number of relocation experiences, βs = .33-.43; and psychosocial resource loss (e.g., loss of hope, meaning or purpose in life, intimacy with friends and family, physical health of family), βs = .17-.26. Additionally, male sex predicted depression, anxiety, and trauma symptoms, and lower educational status predicted anxiety symptoms and general distress. Our exploratory mediation analysis showed that daily stressors partially mediated all four pairs of associations between psychosocial resource loss and mental health outcomes. We discuss the findings with consideration of research on disasters generally and armed conflicts specifically. We also discuss implications for humanitarian interventions with conflict-affected populations in Africa and beyond.

The Role of Psychosocial Resource Loss in Psychological Health after a Flood Disaster: A Retrospective Study of Adjustment in Flood Victims in Southwest Nigeria

The Role of Psychosocial Resource Loss in Psychological Health after a Flood Disaster: A Retrospective Study of Adjustment in Flood Victims in Southwest Nigeria Natural disaster such as flood brings heavy toll on the emotional and mental strength of its victims. Unfortunately, the emergency preparedness and responsiveness of the authority is not often adequate and even sometimes unavailable to the survivors and consequently leading to a mental health of the survivors. Therefore, this study is interested in the role of psychosocial resource loss in psychological health of flood victims in Nigeria. The study used a retrospective survey design and a total of 52 respondents were used in two flood sites. The participants were measured on sociodemographics, resource loss, and psychological distress. The study found out that there was no significant difference between low resource loss and high resource loss on psychological distress among flood victim t (41)=-0.451, p>0.05. That there was no significant interaction between sex and resource loss on psychological distress F (1,16)=1.408, p>0.05. There was significant moderate negative relationship between sex and psychological distress r=-0.521, p 0.05); between educational level and psychological distress (r=-0.241, p>0.05); between resource loss and psychological distress (r=0.198, p>0.05). There was significant interaction between survivors who are older with lower educational status having significantly higher psychological distress than flood survivors who are younger with higher educational status F (2,12)=6.168, p<0.05. There was significant joint influence of age, sex, and educational level on psychological distress, R2=0.430, F (3,16)=4.016, p<0.05. In most disasters, the focus is often on women and children however the focus should be on the younger population with higher educational qualification and screening for mental health issues after a disaster.

Exposure to political violence, psychological distress, resource loss, and benefit finding as predictors of domestic violence among Palestinians.

Intrafamilial violence is starkly understudied in the context of mass casualty and political violence. We conducted a three-wave prospective study of 383 female and 363 male Palestinian adults living in the West Bank, Gaza Strip, and East Jerusalem, interviewed beginning in September 2007, and again at 12- and 18-month intervals, regarding how political violence and its consequences (psychosocial resource loss, benefit finding, and psychological distress) influence domestic violence. Using multigroup structural equation modeling, we found that greater political violence, increased psychosocial resource loss, lower benefit finding, older age, and lower education significantly predicted psychological distress which, in turn, was related to greater domestic violence among male respondents. For women, however, only increased psychosocial resource loss predicted greater distress, which, in turn, predicted greater domestic conflict. Despite these differences, the model for men was not significantly different than the model for women. These results provide useful information regarding how broader political violence experienced by a community can indirectly impact intrafamilial violence.

Can People Remain Engaged and Vigorous in the Face of Trauma? Palestinians in the West Bank and Gaza

This is the first study to investigate how actively engaged and vigorous people remain in their life tasks in the midst of chronic exposure to significant traumatic events. We sought to identify risk and protective factors for engagement within the context of ongoing exposure to political violence and social upheaval. We randomly identified and interviewed 1,196 adult residents of the West Bank and Gaza during a period of violent conflict on 3 occasions: (1) September–October 2007, (2) April–May 2008, and (3) October–November 2008. Participants were asked about their exposure to political violence, symptoms of depression, and posttraumatic stress (PTS) symptoms, their level of social support, psychosocial resource loss, and positive engagement in life tasks. Path modeling revealed that trauma exposure indirectly affected engagement through its impact on resource loss and PTS and depression symptoms. PTS symptoms at Wave 2 were modestly related to greater engagement at Wave 3, and depression symptoms did not independently predict engagement at Wave 3. Psychosocial resource loss at Wave 1 and Wave 2 was the best overall predictor of engagement at Wave 3, through its direct and indirect effects via PTS symptoms. Greater engagement was also predicted by greater social support, being more educated, being younger, and being more religious. The relative independence of psychological distress and engagement was noted as a critical finding supporting a key tenet of positive psychology. The relationship of resource loss and social support with engagement suggests that bolstering psychosocial resources may offer a route for primary and secondary prevention amidst chronic traumatic conditions.

Political violence, psychological distress, and perceived health: A longitudinal investigation in the Palestinian Authority.

One thousand one hundred and ninety six Palestinian adults living in the West Bank, Gaza Strip, and East Jerusalem were interviewed beginning in September 2007 and again at 6- and 12-month intervals. Using structural equation modeling, we focused on the effects of exposure to political violence, psychosocial and economic resource loss, and social support, on psychological distress, and the association of each of these variables on subjective health. Our proposed mediation model was partially supported. Exposure to political violence, psychosocial resource loss, and social support were related to subjective health, fully mediated by their relationship with psychological distress. Female sex and being older were also directly related to poorer subjective health and partially mediated via psychological distress. Greater economic resource loss, lower income, and poorer education were directly related to poor subjective health. An alternative model exploring subjective health as a mediator of psychological distress revealed that subjective health partially mediated the relationship between resource loss and psychological distress. The associate between female sex, education, income, and age on psychological distress were fully mediated by subjective health. Social support and exposure to political violence were directly related to psychological distress. These results were discussed in terms of the importance of resource loss on both mental and physical health in regions of chronic political violence and potential intervention strategies.

Major depressive disorder following terrorist attacks: a systematic review of prevalence, course and correlates.

BackgroundTerrorist attacks are traumatic events that may result in a wide range of psychological disorders for people exposed. This review aimed to systematically assess the current evidence on major depressive disorder (MDD) after terrorist attacks.MethodsA systematic review was performed. Studies included assessed the impact of human-made, intentional, terrorist attacks in direct victims and/or persons in general population and evaluated MDD based on diagnostic criteria.ResultsA total of 567 reports were identified, 11 of which were eligible for this review: 6 carried out with direct victims, 4 with persons in general population, and 1 with victims and general population. The reviewed literature suggests that the risk of MDD ranges between 20 and 30% in direct victims and between 4 and 10% in the general population in the first few months after terrorist attacks. Characteristics that tend to increase risk of MDD after a terrorist attack are female gender, having experienced more stressful situations before or after the attack, peritraumatic reactions during the attack, loss of psychosocial resources, and low social support. The course of MDD after terrorist attacks is less clear due to the scarcity of longitudinal studies.ConclusionsMethodological limitations in the literature of this field are considered and potentially important areas for future research such as the assessment of the course of MDD, the study of correlates of MDD or the comorbidity between MDD and other mental health problems are discussed.

The limits of resilience: Distress following chronic political violence among Palestinians

We examined posttraumatic stress disorder (PTSD) and depression symptom trajectories during ongoing exposure to political violence, seeking to identify psychologically resilient individuals and the factors that predict resilience. Face-to-face interviews were conducted with a random sample of 1196 Palestinian adult residents of the West Bank, Gaza, and East Jerusalem across three occasions, six months apart (September 2007–November 2008). Latent growth mixture modeling identified PTSD, and depression symptom trajectories. Results identified three PTSD trajectories: moderate–improving (73% moderate symptoms at baseline, improving over time), severe–chronic (23.2% severe and elevated symptoms over the entire year); and severe–improving (3.5% severe symptoms at baseline and marked improvement over time). Depression trajectories were moderate–improving (61.5%); severe–chronic (24.4%); severe–improving (14.4%). Predictors of relatively less severe initial symptom severity, and improvement over time for PTSD were less political violence exposure and less resource loss; and for depression were younger age, less political violence exposure, lower resource loss, and greater social support. Loss of psychosocial and material resources was associated with the level of distress experienced by participants at each time period, suggesting that resource-based interventions that target personal, social, and financial resources could benefit people exposed to chronic trauma.

Posttraumatic Symptoms Following a Campus Shooting: The Role of Psychosocial Resource Loss

Conservation of resources (COR) theory has proven a useful framework for understanding posttrauma adjustment. A key tenet of this theory is the centrality of resource loss in determining adjustment. However, COR theory research has often been limited by retrospective research design, a focus on material loss (e.g., one's home), and a lack of attention to other adjustment predictors. This study examined whether psychosocial resource loss prospectively predicted PTSD symptomatology both immediately and 8 months following a campus shooting in a sample of college women (n = 691). Results supported that resource loss predicted symptomatology, even after controlling for other predictors, including prior trauma, psychological distress, initial PTSD symptomatology, and shooting exposure. Implications of the results for research and intervention following mass trauma are discussed.

Prevalence and Correlates of Sleep Problems in Adult Israeli Jews Exposed to Actual or Threatened Terrorist or Rocket Attacks

To estimate the prevalence of, and to identify correlates of clinically significant sleep problems in adult Israeli citizens exposed to chronic terrorism and war trauma or threat thereof. A population-based, cross-sectional study of 1001 adult Israeli citizens interviewed by phone between July 15 and August 26, 2008. The phone survey was conducted in Hebrew and assessed demographics, trauma/stressor exposure, probable posttraumatic stress disorder (PTSD), probable depression, and sleep problems. Probable PTSD and depression were assessed with the PTSD Symptom Scale (PSS) and Patient Health Questionnaire (PHQ-9), respectively, following DSM-IV diagnostic criteria. Sleep problems in the past month were assessed with the Pittsburgh Sleep Quality Index (PSQI), on which a global composite score ≥ 6 indicates a clinical-level sleep problem. Prevalence of probable PTSD and depression was 5.5% and 5.8%, respectively. Prevalence of clinically significant sleep problems was 37.4% overall, but was significantly higher for probable PTSD (81.8%) and probable depression (79.3%) subgroups. Independent correlates of poor sleep included being female, older, less educated, experiencing major life stressors, and experiencing psychosocial resource loss. Psychosocial resource loss due to terrorist attacks emerged as the strongest potentially modifiable risk factor for sleep problems. Sleep problems are common among Israeli adults living under chronic traumatic threat and trauma exposure. Given the continuing threat of war, interventions that bolster psychosocial resources may play an important role in preventing or alleviating sleep problems in this population.

Loss of Resources and Hurricane Experience as Predictors of Postpartum Depression Among Women in Southern Louisiana

After a natural disaster, mental disorders often become a long-term public health concern. Previous studies under smaller-scale natural disaster conditions suggest loss of psychosocial resources is associated with psychological distress. We examined the occurrence of depression 6 and 12 months postpartum among 208 women residing in New Orleans and Baton Rouge, Louisiana, who were pregnant during or immediately after Hurricane Katrina's landfall. Based on the Conservation of Resources (COR) theory, we explored the contribution of both tangible/financial and nontangible (psychosocial) loss of resources (LOR) on the outcome of depression, measured using the Edinburgh Postnatal Depression Scale (EPDS). We also investigated the influence on depression of individuals' hurricane experience through a Hurricane Experience Score (HES) that includes such factors as witnessing death, contact with flood waters, and injury to self or family members. Both tangible and nontangible LOR were associated with depression cross-sectionally and prospectively. Severe hurricane exposure (high HES) was also associated with depression. Regression analysis showed LOR-associated depression was explained almost entirely by nontangible rather than tangible factors. Consistent with COR theory, however, nontangible LOR explained some of the association between severe hurricane exposure and depression in our models. A similar result was seen prospectively for depression at 12 months, even controlling for depression symptoms at 6 months. These results suggest the need for preventive measures aimed at preserving psychosocial resources to reduce the long-term effects of disasters.

A prospective study of risk and resilience factors associated with posttraumatic stress symptoms and depression symptoms among Jews and Arabs exposed to repeated acts of terrorism in Israel.

In the first prospective study, to our knowledge, of the impact of ongoing terrorism and political violence, we analyzed nationally representative data from 560 Jews and 182 Arabs in Israel over a 6-month period. Based on Conservation of Resources (COR) theory (Hobfoll, 1989, 1998), we predicted that exposure to terrorism and political violence would result in psychosocial and economic resource loss and resource lack, which in turn, would be primary predictors of increases in symptoms of posttraumatic stress (PTS) and depression. We also predicted that trauma exposure and PTS symptoms, in particular, would be related to ethnocentrism and support for political violence. Furthermore, based on theory and prior research, we predicted that posttraumatic growth (PTG) would be related to a worsening of symptoms of distress and that distress would be related to increased ethnocentrism and support for extreme political violence for their “cause.” Women, older individuals, and Arabs (compared with Jews) were more likely to have continued psychological distress over time. In addition, using simultaneous equation modeling, we found good fit for a structural model that partially supported our hypotheses. Psychosocial resource loss, PTG, and social support had direct and indirect effects on psychological distress. Political attitudes tended to harden over time but were not prospectively related to PTS or depressive symptoms.

Management of Diseases Without Current Treatment Options

Management of Diseases Without Current Treatment Options

Trajectories of resilience, resistance, and distress during ongoing terrorism: the case of Jews and Arabs in Israel.

This is the 1st longitudinal examination of trajectories of resilience and resistance (rather than ill-being) among a national sample under ongoing threat of mass casualty. The authors interviewed a nationally representative sample of Jews and Arabs in Israel (N = 709) at 2 times during a period of terrorist and rocket attacks (2004-2005). The resistance trajectory, exhibiting few or no symptoms of traumatic stress and depression at both time points, was substantially less common (22.1%) than has previously been documented in studies following single mass casualty events. The resilience trajectory, exhibiting initial symptoms and becoming relatively nonsymptomatic, was evidenced by 13.5% of interviewees. The chronic distress trajectory was documented among a majority of participants (54.0%), and a small proportion of persons were initially relatively symptom-free but became distressed (termed delayed distress trajectory; 10.3%). Less psychosocial resource loss and majority status (Jewish) were the most consistent predictors of resistance and resilience trajectories, followed by greater socioeconomic status, greater support from friends, and less report of posttraumatic growth.