Psychosocial Well-being Research Articles

A Systematic Review of the Impact of Intergenerational Learning on the Psychosocial Well-being of Primary School Children and Older Adults.

IntroductionIn recent times, there has been a growing emphasis on the significance of fostering intergenerational learning and interaction. This involves individuals from diverse age groups engaging in purposeful and mutually beneficial activities aimed at enhancing their knowledge, skills, and values.ObjectivesThis systematic review was undertaken to explore the psychosocial consequences of intergenerational learning experiences among primary school-age children and older adults.MethodsIn accordance with the PRISMA guidelines, a comprehensive review of both quantitative and qualitative data was conducted. Electronic databases such as PubMed, Scopus, and ERIC were meticulously searched up to July 26, 2022, using the following Population (P) - Exposure (E) - Outcome (O) criteria: primary school-age children and older adults (P), participation in intergenerational learning (E), and psychosocial effects (O). Additionally, we extensively scrutinized the reference lists of included datasets and pertinent review articles (Figure 1). To evaluate the quality of the eligible studies, we employed the Mixed Methods Appraisal Tool (MMAT). Data analysis was structured around a narrative synthesis approach.Results A total of seventeen studies were deemed eligible for inclusion in this review. The findings regarding the psychosocial consequences of engaging in intergenerational activities for both children and older adults predominantly underscored positive improvements in their attitudes, well-being, happiness, and various other aspects of their social and psychological well-being, although certain methodological limitations were identified (Figure 2).Image:Image 2:ConclusionsPromoting intergenerational interactions and learning experiences holds promise as a means to enhance the overall quality of life and well-being for both younger and older members of our communities.Disclosure of InterestNone Declared

The psychosocial well-being of an individual is a driver for illegal immigration: a clinical case study

IntroductionThe European Border and Coast Guard Agency (Frontex) detected 330,000 irregular border crossings last year.Tunisian nationals are among the top three nationalities reported.While there are many reasons for illegal immigration,the social driver is one of the most important to study.ObjectivesTo highlight the role of the social environment in promoting illegal immigration and its impact on the psychosocial well-being of individuals in Tunisia through a clinical case study.Methodswe reported the clinical case of a 32 years old tunisian patient who was diagnosed with severe major depressive disorder and post traumatic stress disorder after an illigale immigration to Europe.ResultsA 32-year-old Tunisian man from Tataouine,a region in southern Tunisia,was the subject of this case study.He was the youngest of four siblings,had a secondary education,and worked as a shepherd.His socio-economic status was moderate,unstable and seasonal.He had already attempted to immigrate to Italy twice illegally,by sea,but had been deported both times.The patient sought consultation for depressive symptoms.In January 2023,he made a third attempt to immigrate to Europe,this time by plane.He traveled with two of his cousins,aged 18 and 20,and paid 22,000 Tunisian dinars for the trip.Both cousins died during the journey,one from hypothermia and the other from police pursuit.The patient was deported again and was diagnosed with post-traumatic stress disorder (PTSD) and a major depressive episode.Hamilton Depression scalePTSD checklist scaleRosemberg self esteem scale22 severe depression66 sup 44Poor self esteem 21Tataouine is konwn as “little Paris” a region in the south-east which,according to the National Institute of Statistics,had 71 emigrants/1000 inhabitants or 7.1% of the population.Where the society promotes youth immigration through societal values.ConclusionsThe social environment in Tataouine,which has a high rate of emigration,promotes the idea that immigration is a way to achieve social status and economic security. This can lead to young people feeling pressured to immigrate, even if they are not prepared for the risks involved.Disclosure of InterestNone Declared

Psychiatry resident physician duty hours, resting times and European Working Time Directive compliance in Spain

Introduction There is a growing interest in understanding the impact of duty hours and resting times on training outcomes and the well-being of resident physicians. Psychiatry resident’s duty hours in Spain comprise a regular working schedule of 37.5h per week and a minimum of 4 mandatory on-call shifts. The most recent duty hours regulations in Spain were transposed from the European Working Time Directive (EWTD). According to Spanish Law, doctors cannot work for more than 48h per week and need to have resting times per day (at least 12h), per week (at least 36h) as well as annual leave (at least a month). However, there is practically no data on this situation in psychiatry resident physicians.Objectives Our aim is firstly, to describe the number of shifts performed by psychiatry resident physicians in Spain. Secondly, to describe compliance with the daily and weekly rests compared to those set in national and European law. Finally, to analyse the difference by demographic variables (gender and year of residency), in both the number of on-call duty shifts and compliance with rests.MethodsA descriptive cross-sectional study was designed through an online survey adapted from the existing literature. The target population were Spanish psychiatry resident physicians undergoing PGT who started their specialist training during the years 2018–2021. The survey was disseminated through the Spanish regional medical councils to all active psychiatry resident physicians by mail as well as through informal communication channels. The study was authorised by the Spanish Medical Organization’s General Assembly which is the highest ethical and deontological body of physicians in Spain.Results 55 responses were obtained, of which 61.82% identified as females. The mean number of on-call shifts in the last 3 months was 14.05. This mean was highest in women 14,32 and in the cohort of 2020 15.46 (first year of residency). Among the resident physicians surveyed, 66.07% exceeded the 48h per week limit set by the EWTD and 7% of them did not rest after a 24-h on-call shift. Furthermore, 22% of respondents did not have a day-off after a Saturday on-call shift. The mean working hours when not resting after an on-call-shift were 7 hours. The comparison by gender and year of residency of the main variables can be seen in figures 1 and 2 respectively.Image:Image 2:ConclusionsPsychiatry resident physicians in Spain greatly exceed the established 48 h/week EWTD limit. Likewise, non-compliance with labour regulations regarding mandatory rest after on-call duty and minimum weekly rest periods are observed. Differences can be seen by gender and year of residency. The situation described could potentially create a high-risk situation for the health and psychosocial well-being of resident physicians, hinder learning outcomes and could lead to suboptimal patient care.Disclosure of InterestNone Declared

Perceived Parenting Styles in Relation with Coping Strategies among the Children of Single Parents in Pakistan

Background: The dynamics within single-parent families, particularly the influence of parenting styles on the coping strategies of children, have garnered significant attention in psychological research. The intricate relationship between a parent's approach to raising their child and the child's subsequent development of coping mechanisms to navigate life's challenges is pivotal to understanding the psychosocial well-being of children in single-parent families. Objective: This study aimed to elucidate the correlations between different parenting styles—permissive, authoritarian, and authoritative—and the coping strategies adopted by children of single parents. Additionally, it sought to identify which parenting styles significantly predict the coping strategies utilized by these children. Methods: A correlational and comparative study design was employed, involving 153 adolescents aged 13 to 19 from single-parent families in Faisalabad and Sargodha, Pakistan. The Coping Response Inventory (CRI) and Parental Authority Questionnaire (PAQ) were utilized to measure coping strategies and parenting styles, respectively. Data analysis was conducted using Pearson’s moment correlation, regression analysis, and Independent Samples T-Test to examine the relationships between parenting styles and coping strategies and to assess gender differences. Results: The findings indicated a significant positive correlation between permissive and authoritarian parenting styles (r ranging from .439 to .787, p < .01). Regression analysis revealed that logical analysis, positive reappraisal, and problem-solving were significant predictors of coping strategies (p < .001). Gender-based analysis showed females scored significantly higher in positive reappraisal, seeking guidance/support, acceptance/resignation, and emotional discharge coping strategies compared to males (p < .005). No significant gender differences were found in parenting styles. Conclusion: The study highlights the significant impact of permissive and authoritarian parenting styles on the development of coping strategies among children of single parents. Tailored interventions supporting single parents in adopting more adaptive parenting styles could foster better coping mechanisms in their children, enhancing their psychosocial well-being.

HUBUNGAN KESEPIAN DENGAN TINGKAT DEPRESI PADA LANSIA DI PANTI GRIYA LANSIA HUSNUL KHATIMAH WAJAK MALANG

Loneliness is often a common psychological problem in the elderly, especially when they are separated from their family, lose their spouse, and have difficulty living independently. This adverse impact can affect the psychosocial and psychological well-being of the elderly, causing depression. This study aims to determine the relationship between loneliness and the level of depression in the elderly at Griya Lansia Husnul Khatimah Wajak Malang. The research design used Cross sectional. The population in the study was physically and mentally healthy elderly in the orphanage as many as 67 people with simple purposive sampling technique obtained a research sample of 58 people. The independent variable is loneliness, the dependent variable is the level of depression. The instruments used were the University of California Los Angeles (UCLA) Version 3 questionnaire and the Geriatric Depression Scale (GDS) questionnaire sheet. The data analysis method used was Fisher's Exact Test (P value <0.05). The results showed that most respondents (56.8%) had moderate loneliness and almost half of the respondents (36.2%) had severe depression. Fisher's Exact Test results obtained P value (<0.05) that there is a relationship between loneliness and the level of depression in the elderly at Griya Lansia Husnul Khatimah Wajak Malang. Future researchers are expected to conduct more in-depth research that can affect loneliness and depression levels such as biological, physical, and psychological factors.

Parenting and Child Health: A Secondary Data Analysis of Perceived Influence of Abusive Parenting on Child’s Mental Health

Parenting is an essential part in child’s rearing which directly and indirectly contributes in child’s quality of life and wellbeing. Now a days it is highly significant factor contributing in child’s health across all domains. Children's formative years experiences with regard to parenting have significant impact on their development throughout lifespan. Objective of the study is to describe the consequences of maltreatment on children in all domain of life. Especially, the main focus is psychological wellbeing of child being effected. This study is conducted by analyzing the already published research data from approximately last 3 decades. Qualitative research design is used to describe the data for in-depth analysis. After intensive and in-depth literature analysis it is indicated that parenting has a great impact on child’s life throughout their lifespan. Furthermore, study also give the overview how maltreatment of parent’s effects child throughout their life in terms of emotional, behavioral, relationships and in general psycho-social wellbeing.

POSTNATAL MOTHERS’ EXPERIENCE OF DOMESTIC VIOLENCE AGAINST WOMEN DURING PREGNANCY

Background: Violence against women is a social problem that has serious consequences on women’s physical, and psychosocial well-being. The violence against women ultimately also affects children, families, and society as a whole. This study aimed to identify the experience of domestic violence against women during pregnancy. Methods: A descriptive cross-sectional study was conducted among purposively selected 302 postnatal mothers of postpartum A, B and Gynae ward of Patan Hospital. Data were collected through face-to-face interviews using a structured interview schedule. Data were analyzed in IBM SPSS Statistics version 20.0 using descriptive statistics. Results: Postnatal mothers experienced sexual violence by their husbands (8.9%), physical violence (12.9%), and emotional violence (43%) from their husbands and or family members. Regarding other forms of violence, mothers experienced not being given nutritious food during pregnancy (38.4%) and violence by their mother-in-law (45.4%). Likewise, few number of mothers have reported the violence (17.2%). Among them, 76.9% reported the incident of violence to the maternal side. Conclusions: The findings suggest a concerning prevalence of various forms of violence against postnatal mothers like sexual, physical, and emotional. Among those form of violence, existence of emotional violence was high and often perpetrated by husbands or family members. Moreover, the low reporting rates highlight the urgent need for enhanced support structures and interventions to empower victims and address the underlying issues contributing to this pervasive problem.

COVID-19 and beyond: A systematic review of adaptations to psychosocial support in oncology.

To understand the strategies used to continue providing psychosocial support to cancer patients during the pandemic, including outcomes and implications beyond the pandemic. A systematic review of original research. ProQuest Health & Medicine, CINAHL Complete (via EBSCOhost), Scopus, and PubMed were searched for original work published between January 2020 and December 2022. Abstract and title screening identified eligible articles for full-text review. Following a full-text review, data were extracted from eligible articles, and a risk of bias assessment was conducted. A synthesis without meta-analysis was performed. Thirty-four articles met the selection criteria. These articles provide evidence that systematic adaptations during the pandemic improved the assessment and screening of psychological needs and/or increased the number of clients accessing services. Additionally, while the pandemic was associated with decreased psychosocial well-being for cancer patients, five intervention studies reported improvements in psychosocial well-being. Barriers, strategies, and recommendations were described. Adapting psychosocial support during a pandemic can be successful, achieved relatively quickly, and can increase the uptake of support for people experiencing cancer. It is imperative that these adaptations continue beyond the pandemic to maximize adaptive psychosocial outcomes for a group vulnerable to ongoing mental health concerns. While the COVID-19 pandemic was associated with increased psychosocial need for cancer patients, evidence in the review suggested that adaptations made to service delivery facilitated increased access for patients who may not previously have been able to access support. Additionally, improvements in psychosocial well-being were achieved. These findings are relevant for clinicians and decision-makers who fund and design psychosocial support services for cancer patients. The review was guided by PRISMA Guidelines and the SWiM Reporting Guideline. No patient or public contribution.

Apoyo social percibido de personas mayores de 60 años que cuidan de sus nietos

ObjectiveThe role of older people in today's society is important in supporting work-life balance and well-being. The aim of the study was to analyze the perception of the support they receive and the psychosocial well-being of people over 60years of age who take care of their grandchildren. MethodologyCross-sectional descriptive observational study. A sample of people over 60years of age, who attended the pediatrics service in three health centers accompanying their grandchildren, during the first four-month period of 2018. They were administered the Duke-UNC questionnaire, with measures of social support and involvement in the care of their grandchildren. ResultsThe majority cared for their grandchildren between 5 and 14hours per week, performing recreational and maintenance activities. The participants reported a significant relationship of the caregiver's role in their quality of life and well-being; 88% of the subjects perceived a high level of social support. Involvement in weekly caregiving hours did not correlate with worse perceived support. ConclusionsOlder adults who care for their grandchildren and attend the primary care pediatrics service with them perceive an adequate level of social support, regardless of the number of hours spent doing so.

Variation and correlates of psychosocial wellbeing among nulliparous women with preeclampsia

ObjectivesTo identify classes of psychosocial stressors among women who developed preeclampsia and to evaluate the associations between these classes and correlates of psychosocial wellbeing. Study designWe performed a secondary analysis of women who developed preeclampsia (n = 727) from the Nulliparous Pregnancy Outcomes Study: Monitoring Mothers-to-be (nuMoM2b) cohort (2010–2013). Latent class analysis was used to identify classes of social stressors based on seven psychological and sociocultural indicators. Associations between latent classes and correlates (demographics, health behavior, and health-systems level) were estimated using multinomial logistic regression. Main outcome measuresClasses of psychosocial wellbeing. ResultsAmong women who developed preeclampsia, three classes reflective of psychosocial wellbeing were identified: Class 1: Intermediate Psychosocial Wellbeing (53 %), Class 2: Positive Psychosocial Wellbeing (31 %), Class 3: Negative Psychosocial Wellbeing (16 %). Women in the Negative Psychosocial Wellbeing Class were more likely to have poor sleep and a sedentary lifestyle compared with the Positive and Intermediate Psychosocial Wellbeing Classes. Both the Negative and Intermediate Psychosocial Wellbeing Classes reported concern about their quality of medical care compared with the Positive Psychosocial Wellbeing Class (adjusted odds ratio [aOR]: 6.19, 95 % confidence interval [CI]: 3.37, 11.36 and aOR: 2.19, 95 % CI: 1.31, 3.65, respectively). ConclusionsWomen who develop preeclampsia are heterogenous and experience different intensities of internal and external stressors. Understanding the linkages between psychosocial wellbeing during pregnancy and modifiable behavioral and structural factors may inform future tailored management strategies for preeclampsia and the optimization of maternal postpartum health.

Improving Quality of Life and Psychosocial Health for Penile Cancer Survivors: A Narrative Review.

Treatment of penile cancer (PC) focuses on organ preservation, employing various surgical and non-surgical approaches. These interventions may lead to disfigurement, impacting patients' functional outcomes and psychosocial well-being. We reviewed studies related to penile health and PC up to February 2024, limited to studies published in English. Studies employing health-related quality of life (HRQoL) assessments have identified a detrimental association between aggressive treatment and overall health status, physical functioning, and relationships. In contrast, organ-sparing demonstrates improved measures related to HRQoL and sexual function. Assessment through validated questionnaires reveals diverse voiding outcomes, and varying impacts on QoL and sexual activity, emphasizing the necessity for multidisciplinary personalized care. Studies highlight substantial variations in sexual function, with patients reporting adaptations, reduced satisfaction, and concerns about body image and sexual well-being. Furthermore, unmet needs include challenges in patient-clinician communication, obtaining information, and accessing psychosocial support. Patient experiences underscore the importance of timely diagnosis, treatment access, and addressing psychological consequences. Organ-sparing approaches have higher QoL preservation and sexual function. Individualized support, including sexual therapy, support groups, and family counseling, is essential for post-treatment rehabilitation. Timely diagnosis and comprehensive care are paramount in addressing the multifaceted impact of PC on patients and families.

Differential associations between insight and quality-of-life dimensions among individuals with schizophrenia.

In schizophrenia, insight, the recognition that one has a medical illness that requires treatment, has long been related to deteriorated quality of life. Yet, insight and quality of life are broad constructs that encompass several dimensions. Here, we investigated differential associations between insight and quality-of-life dimensions using a psychological network approach. We extracted data from the French network of rehabilitation centers REHABase (January 2016 to December 2022, N = 1,056). Our psychological network analysis modeled insight and quality of life as a network of interacting dimensions: three insight dimensions (awareness of illness, reattribution of symptoms to the disease, and recognition of treatment need) and eight quality-of-life dimensions (autonomy, physical and psychosocial well-being, relationships with family, friends and romantic partners, resilience, and self-esteem). Insight was negatively associated with quality of life. Our psychological network analysis revealed a strong negative association between awareness of disease and self-esteem. Both dimensions were the strongest nodes in the overall network. Our network analysis also revealed a significant but positive connection between recognition of treatment needs and resilience. While insight and quality of life are overall negatively associated, we found both negative and positive connections between insight and quality-of-life dimensions. The negative relationship between insight and quality of life may reflect the deleterious effects of diagnostic labeling on a patient's self-esteem. Yet, acknowledgment of treatment needs may have positive effects on quality of life and may promote recovery, perhaps because it emphasizes the need for support rather than labels and abnormalities. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Untangling influences of information relevance and media richness on health anxiety and COVID-19-related stress: perspective of stimulus-organism-response

PurposeIn light of the stimulus-organism-response (SOR) theoretical paradigm, this paper explores how information relevance and media richness affect social network exhaustion and, moreover, how social network exhaustion ultimately leads to health anxiety and COVID-19-related stress.Design/methodology/approachThe conceptual model is explicitly analyzed and estimated by using data from 309 individuals of different ages in mainland China. Confirmatory factor analysis (CFA) and structural equation modeling (SEM) were utilized to validate the proposed hypotheses through the use of online data.FindingsThe findings suggest that information relevance is negatively associated with social network exhaustion. In addition, social network exhaustion is a significant predictor of health anxiety and stress. Furthermore, information relevance and media richness can indirectly influence health anxiety and stress through the mediating effect of social network exhaustion.Research limitations/implicationsTheoretically, this paper verifies the causes and consequences of social network exhaustion during COVID-19, thus making a significant contribution to the theoretical construction and refinement of this emerging research area. Practically, the conceptual research model in this paper may provide inspiration for more investigators and scholars who are inclined to further explore the different dimensions of social network exhaustion by utilizing other variables.Originality/valueAlthough social network exhaustion and its adverse consequences have become prevalent, relatively few empirical studies have addressed the deleterious effects of social network exhaustion on mobile social media users’ psychosocial well-being and mental health during the prolonged COVID-19. These findings have important theoretical and practical implications for the rational development and construction of mobile social technologies to cultivate proper health awareness and mindset during the ongoing worldwide COVID-19 epidemic.

Meaning-Making Among Parents of Children With Severe Neurologic Impairment in the PICU.

Parents and family caregivers of children with severe neurologic impairment (SNI) experience many stressors, especially during their child's critical illness. This study aimed to examine parent experiences around the time of their child's PICU care to explore ways parents make meaning in relation to these stressors. This qualitative study of data from a single center in the United States followed Consolidated Criteria for Reporting Qualitative Research guidelines. One to one semistructured interviews queried parents' psychosocial well-being around the time of their child's PICU care. Eligible participants had a child with an SNI condition for >3 months admitted to the PICU for >24 hours with an expected length of stay >1 week. Data were analyzed by a research team with expertise in palliative care, psychology, critical care, and qualitative methods. Fifteen family caregivers of 15 children participated. Children were a median of 8 years old (interquartile range 4-11.5) and 80% (n = 12) had congenital/genetic conditions. Parent/family caregivers were a median age of 39 years old (interquartile range 36-42.5); 20% (n = 3) self-identified as fathers and 47% (n = 7) as having to a minority racial background. Parents discussed ongoing meaning-making that occurred through domains of comprehension and purpose, and themes of understanding of other people and the world around them. Subthemes focused on appreciation/acceptance, adaptability/accountability, valuing all lives, and learning/teaching about their child. Meaning-making may be an opportunity for support in the PICU among parents/family caregivers of children with SNI.

Improving Retention in Mental Health and Psychosocial Support Interventions: An Analysis of Completion Rates across a Multi-Site Trial with Refugee, Migrant, and Host Communities in Latin America.

Research on mental health and psychosocial support (MHPSS) interventions within refugee and migrant communities has increasingly focused on evaluating implementation, including identifying strategies to promote retention in services. This study examines the relationship between participant characteristics, study setting, and reasons for intervention noncompletion using data from the Entre Nosotras feasibility trial, a community-based MHPSS intervention targeting refugee, migrant, and host community women in Ecuador and Panama that aimed to promote psychosocial wellbeing. Among 225 enrolled women, approximately half completed the intervention, with varying completion rates and reasons for nonattendance across study sites. Participants who were older, had migrated for family reasons, had spent more time in the study community, and were living in Panamá (vs. Ecuador) were more likely to complete the intervention. The findings suggest the need to adapt MHPSS interventions to consider the duration of access to the target population and explore different delivery modalities including the role of technology and cellular devices as reliable or unreliable source for engaging with participants. Engaging younger, newly arrived women is crucial, as they showed lower completion rates. Strategies such as consulting scheduling preferences, providing on-site childcare, and integrating MHPSS interventions with other programs could enhance intervention attendance.

Intergenerational Contact in Refugee Settlement Contexts: Results from a Systematic Mapping Review and Analysis

The purpose of this article is to map research literature on intergenerational contact in refugee and international migration contexts. Using database searches on Scopus, Medline, CINAHL, PsycInfo and Education Research Complete, we identified 649 potentially relevant studies, of which 134 met the inclusion criteria and are mapped in the article by themes, date of publication, geographical distribution, study design, and targeted population. The review has been developed with input from migrant and refugee charities, and it identifies research trends in the field as well as multiple gaps in the literature. The results highlight the complex ways in which intergenerational contact impacts psycho-social wellbeing and integration, health, and education outcomes for both refugees and other migrant groups. Much of the research to date has focused on relationships within families. Studies exploring the potential tensions and benefits of intergenerational contact between refugees/migrants and members of the broader community are lacking.

Does coping style mediate the relationship between knowledge and psychosocial outcomes in women with atrial fibrillation?

In patients affected by atrial fibrillation (AF) disease-specific knowledge and coping style may be associated with psychosocial well-being. This study aimed to determine if coping style (problem-focused, emotion-focused, avoidance-focused) mediated the relationship between patient knowledge and three psychosocial outcomes (anxiety, depression and life satisfaction). In 2021a total of 188 women with reported AF, and ages ranging from 18 to 83 years (mean 48.7, sd 15.5 years), completed an online questionnaire consisting of sociodemographic, clinical and AF knowledge questions and psychosocial instruments (Anxiety and depression, the Hospital Anxiety and Depression (HADS) scale; life satisfaction, Satisfaction With Life Scale (SWLS); and coping style (Brief COPE). Using Jamovi statistical software three individual mediational models (for anxiety, depression and life satisfaction) were constructed assessing the direct and indirect relationships between knowledge, coping style and each psychosocial outcome. Age was a covariate in each model. The mediation analyses demonstrated significant direct negative associations between AF knowledge and HADS anxiety and depression and positive associations with SWLS. There were also direct associations between each of the three coping styles and the three psychosocial outcomes. There were significant indirect effects of coping style between AF knowledge and each of the three outcomes confirming partial mediation effects. These findings highlight the crucial role of coping style in mediating the association between AF knowledge and psychosocial outcomes. As such, interventions aimed at increasing patient knowledge of AF may be more effective if adaptive problem-solving coping strategies are also demonstrated to these patients. Additionally, modification of maladaptive coping strategies as part of the psychological management of patients with AF is highly recommended.

Accessibility and Perceived Impact of a Group Psychosocial Intervention for Women in Ecuador: A Comparative Analysis by Migration Status.

There is increasing guidance promoting the provision of mental health and psychosocial support programs to both migrant and host community members in humanitarian settings. However, there is a lack of information on the respective experiences and benefits for migrant and host community members who are participating in mental health and psychosocial support programming. We evaluated a community-based psychosocial program for migrant and host community women, Entre Nosotras, which was implemented with an international non-governmental organization in Ecuador in 2021. Data on participant characteristics and psychosocial wellbeing were collected via pre/post surveys with 143 participants, and qualitative interviews were conducted with a subset (n = 61) of participants. All quantitative analyses were conducted in STATA, and qualitative analysis was done in NVivo. Attendance was higher for host community members. Specifically, 71.4% of host community members attended 4-5 sessions, whereas only 37.4% of migrants attended 4-5 sessions (p = 0.004). Qualitative analysis shows that the intervention was less accessible for migrants due to a variety of structural barriers. However, this analysis also demonstrated that both groups of women felt a greater sense of social connectedness after participating in the program and expressed gratitude for the bonds they formed with other women. Some migrant women described negative experiences with the host community because they felt as though they could not confide in host community women and speak freely in front of them. These results underscore how the migratory context influences the implementation of mental health and psychosocial support (MHPSS) programs. As humanitarian guidelines continue to emphasize the integration of host community members and displaced persons, it is critical to account for how the same intervention may impact these populations differently.

Abstract 2255: Social support with physical and psychosocial quality of life in individuals with prostate cancer in the Health Professionals Follow-up Study (HPFS)

Abstract Introduction: Social support is associated with improved cancer survivorship, but literature on its association with prostate cancer specific physical and psychosocial quality of life (QoL) is lacking. We investigated the associations of social support with physical and psychosocial QoL in individuals with prostate cancer in HPFS. Methods: We included 1,692 men (ages 61-95 years, mean: 71 years) diagnosed with non-metastatic prostate cancer between 2008 and 2016. Social support was measured by the Berkman-Syme Social Network Index (SNI) (a composite measure of marital status, sociability, membership in religious groups or other community organizations: socially isolated, moderately isolated, moderately integrated, socially integrated) and marital status (married, not married). Physical (measured by EPIC-CP: bowel function, urinary incontinence, urinary irritation/obstruction, sexual function, vitality/hormonal function) and psychosocial (memory function and wellbeing) QoL were measured through biennial questionnaires. We fit generalized linear and ordinal mixed effect models for the associations of SNI and marital status with physical and psychosocial QoL, adjusting for age, race, employment status, body mass index, comorbidities, smoking history, and clinical factors. We conducted stratified analyses by baseline age (<70, ≥70), baseline comorbidities (yes, no), primary treatment (active surveillance, radical prostatectomy, radiation), and D’Amico Risk Classification at diagnosis (low, intermediate, high risk). Results: Among those with baseline SNI (N=1,586), 740 were socially integrated, 309 were moderately integrated, 437 were moderately isolated, and 100 were isolated. Among those with baseline marital status (N=1,663), 89% were married. Physical QoL did not differ significantly by SNI. Married individuals (compared to not married) experienced less urinary incontinence (β -0.25, 95% confidence interval [CI]: -0.55, 0.05) and urinary irritation/obstruction (β -0.26, 95% CI: -0.52, 0.00). Those who were socially integrated (compared to isolated) reported better memory function (Odds ratio [OR] 1.47, 95% CI 1.06, 2.03) and wellbeing (OR 1.74, 95% CI 1.31, 2.31). The positive association between social support and QoL was stronger among those with baseline aged <70 years (for vitality/hormonal functioning and memory function), those without comorbidities at baseline (for memory function), those with radiation as primary treatment (for urinary incontinence, vitality/hormonal functioning, memory function, and wellbeing), and those with high risk (for memory function and wellbeing). Conclusion: Prostate cancer survivors with more social support experienced better quality of life, including less urinary incontinence and urinary irritation/obstruction, and better memory function and wellbeing. Citation Format: Naiyu Chen, Colleen B. McGrath, Barbra A. Dickerman, Rachel C. Nethery, Lorelei A. Mucci. Social support with physical and psychosocial quality of life in individuals with prostate cancer in the Health Professionals Follow-up Study (HPFS) [abstract]. In: Proceedings of the American Association for Cancer Research Annual Meeting 2024; Part 1 (Regular Abstracts); 2024 Apr 5-10; San Diego, CA. Philadelphia (PA): AACR; Cancer Res 2024;84(6_Suppl):Abstract nr 2255.

Abstract 3471: Predictors of cancer related distress among patients with colorectal cancer

Abstract Background: Colorectal cancer (CRC) incidence among patients under age 50 has increased drastically over the past few decades. Given that increased cancer-related distress is associated with worse oncologic outcomes, studies are needed to assess the psychosocial wellbeing of CRC survivors across the shifting demographic and socioeconomic landscape. Methods: The ColoCare Study is a prospective cohort study of newly-diagnosed CRC patients enrolled across six US and European sites. We analyzed ColoCare data from the Washington University site, which has high accrual of Non-Hispanic Black (NHB) patients. Cancer-related distress was measured using a validated Cancer and Treatment Distress (CTXD) tool with 4-point Likert scales ranging from 0-3 with higher scores indicating greater distress. Covariate-adjusted linear regression analyses were used to evaluate sociodemographic, lifestyle, and clinical factors as predictors of cancer-related distress 12 months following CRC diagnosis. Results: This analysis included 156 participants enrolled from April 2017 to September 2022 who completed a 12-month CTXD questionnaire: 51.4% male; mean age 55.3 (SD 13.1) years; 64.8% Non-Hispanic White; 33.1% NHB; mean 12-month CTXD score 0.75 (SD 0.70). In covariate-adjusted models, predictors of increased distress at 12 months (Table 1) included recurrence or new metastasis (regression coefficient (β)=0.63, 95% confidence interval (CI)=0.35-0.91), stage II ((β=0.49, 95% CI=0.15-0.84) or stage III (β=0.37, 95% CI=0.02-0.72) disease, current smoking (β=0.33, 95% CI=0.10-0.56), female gender (β=0.22, 95% CI=0.00-0.44) and age (β= -0.01, 95% CI -0.02-0.00). Race and social vulnerability index were not predictors of distress in this analysis. Conclusion: Among CRC survivors, those with younger age, female gender, active smoking, advanced stage, and disease progression may benefit from targeted cancer-related distress assessment and interventions. Multiple Linear Regression Analysis Estimating 12-Month CTXD Scores Variable Regression Coefficients 95% Lower CI 95% Upper CI P-value Age -0.01 -0.02 0.00 *0.015 Gender: Female vs. Male 0.22 0.00 0.44 *0.050 Race: Black vs. White 0.01 -0.26 0.29 0.933 Race: Other vs. White -0.17 -0.91 0.57 0.650 Social Vulnerability Index 0.15 -0.26 0.56 0.463 BMI 0.00 -0.02 0.02 0.908 Smoking Status: Current vs. Former/Never 0.33 0.10 0.56 *0.006 Stage II vs. Stage I 0.49 0.15 0.84 *0.006 Stage III vs. Stage I 0.37 0.02 0.72 *0.040 Stage IV vs. Stage I 0.41 -0.08 0.91 0.100 Neoadjuvant Treatment: Yes vs. No 0.09 -0.19 0.38 0.510 Adjuvant Treatment: Yes vs. No -0.23 -0.53 0.07 0.133 Stoma at 6 months: Yes vs. No -0.21 -0.68 0.25 0.364 Recurrence or New Metastasis: Yes vs. No 0.63 0.35 0.91 *<0.001 Citation Format: Catherine N. Zivanov, Rachel Kalbfell, Jorge Zarate Rodriguez, Shaleen Sathe, Joel Vetter, Myung Jeon, Dante Chao, Kerri A. Ohman, Jennifer Ose, Biljana Gigic, Erin M. Siegel, David Shibata, Christopher I. Li, Jane C. Figueiredo, Cornelia M. Ulrich, Adetunji T. Toriola. Predictors of cancer related distress among patients with colorectal cancer [abstract]. In: Proceedings of the American Association for Cancer Research Annual Meeting 2024; Part 1 (Regular Abstracts); 2024 Apr 5-10; San Diego, CA. Philadelphia (PA): AACR; Cancer Res 2024;84(6_Suppl):Abstract nr 3471.