Social Isolation Symptoms Research Articles

Digital resilience: Understanding the influence of social media and support networks on university students' isolation during COVID-19

The global COVID-19 pandemic has led to widespread social isolation measures, potentially exacerbating mental health issues, especially among young adults. This demographic, known for its high social media usage, faces increased risk of negative mental health outcomes such as isolation and depression. This study explores how social media engagement and social support seeking mediate the relationship between age and social isolation symptoms during the pandemic. Using a qualitative research methodology, data was collected from twenty university students in Pakistan through semi-structured interviews. The interviews delved into various aspects including depressive symptoms, loneliness, coping mechanisms, and changes in daily routines due to the pandemic. The analysis reveals that university students experienced greater levels of loneliness compared to older age groups. Additionally, they exhibited increased use of social media platforms while seeking less social support. These findings highlight the mental health implications of fear and isolation during a global pandemic, both in Pakistan and in other countries. The study underscores the importance of targeted interventions to address the mental well-being of young adults during and after the COVID-19 crisis.

Case Study of the Application of Ways to Increase Outreach to Patients with Social Isolation Problems at the Puskesmas Bandar Jaya Lahat

Social isolation is an attempt to avoid interactions and relationships with people. It is characterized by a flat, sad affect, wanting to be alone, an inability to meet other people's expectations, feeling insecure in public places, a history of being rejected, no eye contact, and not having a purpose. The purpose is to learn how to get to know clients in social isolation and to find out the effect of getting to know clients on clients Mrs. H. and Mrs. L. in the working area of the Bandar Jaya Lahat Health Center in 2022. The form of research used is descriptive direct interviews with clients experiencing social isolation, namely making acquaintances and chatting. Results: Reducing signs and symptoms of social isolation and being able to socialize with others.

Evaluating the Feasibility of a Multiplayer Role-Playing Game as a Behavioral Health Intervention in Adolescent Patients With Chronic Physical or Mental Conditions: Protocol for a Cohort Study.

Numerous studies have revealed that adolescents with chronic physical or mental conditions (CPMCs) are at an increased risk for depression and anxiety, with serious direct and indirect negative effects on treatment adherence, family functioning, and health-related quality of life. As game-based approaches are effective interventions in treating anxiety and depression, we propose to explore the use of a multiplayer role-playing game (RPG) as a potential intervention for social isolation, anxiety, and depression. The objectives of this study were to (1) determine the feasibility of using Masks, a multiplayer RPG, as an intervention for social isolation, anxiety, and depression in adolescents with CPMCs; (2) evaluate the viability of the research process; and (3) gauge participation in and engagement with RPG-based interventions. This study is a remote synchronous game-based intervention for adolescents with CPMCs aged 14-19 years. Eligible participants completed a web-based baseline survey to assess anxiety, depression, and social isolation and to identify their gaming habits. After completing the baseline survey, they participated in 5 moderated Masks game sessions. In Masks, players assume the roles of young superheroes; select their character types, superpowers; and perform actions determined by the game's rule system and dice rolls. All game sessions were played using Discord, a communication platform commonly used by gaming communities. Games were led and moderated by game masters (GMs). After each game session, participants completed surveys to assess changes in anxiety, depression, and social isolation, and their attitude toward the game and the user experience. The participants also completed an exit survey after all 5 game sessions (modified version of the Patient Health Questionnaire and the Generalized Anxiety Disorder Questionnaire, and 17 open-ended questions). The GMs rated each game session and reported on gameplay, player behavior, comfort, and engagement levels of the players. As of March 2020, six participants were recruited for the pilot study to participate in moderated web-based game sessions of Masks; 3 completed all game sessions and all required assessments. Although the number of participants was too low to draw generalizable conclusions, self-reported clinical outcomes did seem to indicate a positive change in depression, anxiety, and social isolation symptoms. Qualitative analysis of postgame survey data from participants and GMs indicated high levels of engagement and enjoyment. Furthermore, the participants provided feedback about improved mood and engagement related to weekly participation in Masks. Lastly, responses to the exit survey showed interest in future RPG-related studies. We established a workflow for gameplay and evaluated a research protocol for evaluating the impact of RPG participation on isolation, anxiety, and depression symptoms in adolescents with CPMCs. Preliminary data collected from the pilot study support the validity of the research protocol and the use of RPG-based interventions in larger clinical studies. RR1-10.2196/43987.

APPLICATION OF SOCIAL GROUP ACTIVITY THERAPY IN SCIZOPHRENIAN PATIENTS WITH SOCIAL ISOLATION IN THE HOSPITAL OF JIWA PROF DR SOEROJO MAGELANG

Social isolation is the client's effort to avoid interaction with others. Therapy is given to patients with social isolation by providing social group activity therapy. Social group activity therapy is a group activity therapy with learning activities stages of communication with others to improve the ability to socially relate. The purpose of social group activity therapy is to facilitate the ability of patients with social relationship problems so as to improve the ability and train patients in socializing to minimize the number of patients with mental disorders. The purpose of this case study is to compose a resume of nursing care in the application of social group activity therapy to train patients in reducing the symptoms of social isolation. This type of research is descriptive with a case study method. The subjects of this study were patients with schizophrenia, patients withdrawing, patients who had already gotten the strategy of implementing 2 social isolation. The results of the study showed that there was a change in the decrease in social isolation signs before treatment of social group activity in Patient I by 27 symptoms and in Patient II in 24 symptoms after social group activity therapy in Patient I was 5 symptoms and Patient II was 5 symptom signs after giving social group activity therapy for 7 sessions so that patients are expected to be able to maintain socialization with others

RESPON SOSIAL DAN KEMAMPUAN SOSIALISASI PASIEN ISOLASI SOSIAL MELALUI MANAJEMEN KASUS SPESIALIS KEPERAWATAN JIWA

Background: Social isolation is a condition of loneliness felt by the individual being unable to make contact with other people. Social isolation can result in further on the issue of fulfillment of basic needs, so it would appear hallucinations that endanger themselves and others.
 Objective: The purpose of writing scientific papers to describe social changes, and socialization capabilities in social isolation’s patients using nursing care management of psychiatric specialist.
 Methods: Nursing orders given to 22 clients using nurses action, Social Skills Training (SST), and Cognitive-Behavioral and Social Skills Training (CBSST).
 Result: Results obtained reduction in social symptoms of social isolation mark that includes withdraw behaviour, interaction difficulties, refuse to communicate with others, fail to interact with others nearby, disabillity to participate in social activities, ignoring the environtment, and mistrust with others. The result also shown the improvement of socialization patient ability.
 Conclusion: : There were reduction in symptoms of social isolation obviously showed on social aspects as well as an increase in the client's ability to socialize. Recommendations of this study was to use a combination of measures such as nurses and specialist nurses Social Skills Training and Cognitive-Behavioral and Social Skills Training on clients with social isolation.
 Key Words : Social Skills Training, Cognitive-Behavioral and Social Skills Training

Studi Kasus: Asuhan Keperawatan Pada Klien Isolasi Sosial Pasca Pasung

Isolasi sosial merupakan keadaan dimana seorang individu mengalami penurunan bahkan sama sekali tidak mampu berinteraksi dengan orang lain di sekitarnya. Tujuanstudi kasus ini adalah untuk menganalisis tentang asuhan keperawatan isolasi sosial pasca pasung pada Tn. P dengan skizofrenia paranoid. Proses asuhan keperawatan dilakukan berdasarkan standar asuhan keperawatan generalis selama enam hari rawat pada tanggal 7-12 Mei 2018 pada Tn. P dengan usia 32 tahun dan berjenis kelamin laki-laki. Hasil didapatkan masalah keperawatan utama adalah isolasi sosial. Implementasi keperawatan berfokus pada kemampuan klien membina hubungan saling percaya dan meningkatkan kemampuan klien berinteraksi secara bertahap. Intervensi keperawatan memberikan dampak yang positif kepada klien dilihat dengan penurunan tanda dan gejala isolasi sosial pada aspek kognitif, afektif, fisiologis dan sosial, namun belum tampak penurunan pada aspek perilaku. Faktor yang menyebabkan klien sulit membina hubungan dengan perawat yaitu faktor internal dimana klien memiliki penilaian negatif terhadap diri sendiri, orang lain dan lingkungan dan faktor eksternal dimana klien menganggap perawat sebagai stressor yang membahayakan. Rencana tindak lanjut pelayanan keperawatan diharapkan dapat dimaksimalkan baik secara individu, keluarga, kelompok dan komunitas.

HOspitals and patients WoRking in Unity (HOW R U?): telephone peer support to improve older patients’ quality of life after emergency department discharge in Melbourne, Australia—a multicentre prospective feasibility study

ObjectivesTo ascertain the feasibility and acceptability of the HOW R U? programme, a novel volunteer-peer postdischarge support programme for older patients after discharge from the emergency department (ED).DesignA multicentre prospective...

Respon Sosial dan Kemampuan Sosialisasi Pasien Isolasi Sosial melalui Manajemen Kasus Spesialis Keperawatan Jiwa

Background: Social isolation is a condition of loneliness felt by the individual being unable to make contact with other people. Social isolation can result in further on the issue of fulfillment of basic needs, so it would appear hallucinations that endanger themselves and others. Objective: The purpose of writing scientific papers to describe social changes, and socialization capabilities in social isolation’s patients using nursing care management of psychiatric specialist. Methods: Nursing orders given to 22 clients using nurses action, Social Skills Training (SST), and Cognitive-Behavioral and Social Skills Training (CBSST). Result: Results obtained reduction in social symptoms of social isolation mark that includes withdraw behaviour, interaction difficulties, refuse to communicate with others, fail to interact with others nearby, disabillity to participate in social activities, ignoring the environtment, and mistrust with others. The result also shown the improvement of socialization patient ability. Conclusion: : There were reduction in symptoms of social isolation obviously showed on social aspects as well as an increase in the client's ability to socialize. Recommendations of this study was to use a combination of measures such as nurses and specialist nurses Social Skills Training and Cognitive-Behavioral and Social Skills Training on clients with social isolation. Key Words : Social Skills Training, Cognitive-Behavioral and Social Skills Training

Automatic processing of facial affects in patients with borderline personality disorder: associations with symptomatology and comorbid disorders.

BackgroundInstability of affects and interpersonal relations are important features of borderline personality disorder (BPD). Interpersonal problems of individuals suffering from BPD might develop based on abnormalities in the processing of facial affects and high sensitivity to negative affective expressions. The aims of the present study were to examine automatic evaluative shifts and latencies as a function of masked facial affects in patients with BPD compared to healthy individuals. As BPD comorbidity rates for mental and personality disorders are high, we investigated also the relationships of affective processing characteristics with specific borderline symptoms and comorbidity.MethodsTwenty-nine women with BPD and 38 healthy women participated in the study. The majority of patients suffered from additional Axis I disorders and/or additional personality disorders. In the priming experiment, angry, happy, neutral, or no facial expression was briefly presented (for 33 ms) and masked by neutral faces that had to be evaluated. Evaluative decisions and response latencies were registered. Borderline-typical symptomatology was assessed with the Borderline Symptom List.ResultsIn the total sample, valence-congruent evaluative shifts and delays of evaluative decision due to facial affect were observed. No between-group differences were obtained for evaluative decisions and latencies. The presence of comorbid anxiety disorders was found to be positively correlated with evaluative shifting owing to masked happy primes, regardless of baseline—neutral or no facial expression condition. The presence of comorbid depressive disorder, paranoid personality disorder, and symptoms of social isolation and self-aggression were significantly correlated with response delay due to masked angry faces, regardless of baseline.ConclusionsIn the present affective priming study, no abnormalities in the automatic recognition and processing of facial affects were observed in BPD patients compared to healthy individuals. The presence of comorbid anxiety disorders could make patients more susceptible to the influence of a happy expression on judgment processes at an automatic processing level. Comorbid depressive disorder, paranoid personality disorder, and symptoms of social isolation and self-aggression may enhance automatic attention allocation to threatening facial expressions in BPD. Increased automatic vigilance for social threat stimuli might contribute to affective instability and interpersonal problems in specific patients with BPD.

The feasibility of ambulatory biosensor measurement of salivary alpha amylase: Relationships with self-reported and naturalistic psychological stress

Recent developments in biosensor technology allow point-of-use reporting of salivary alpha amylase (sAA) levels while approaching the precision and accuracy of conventional laboratory-based testing. We deployed a portable prototype sAA biosensor in 54 healthy, male dental students during a low stress baseline and during final exams. At baseline, participants completed the Brief Symptom Inventory (BSI). At baseline and the exam week, participants provided saliva samples at 10 AM, 1 PM, and 5 PM, and rated concurrent subjective distress. Although subjective distress was higher during exams compared to baseline, sAA levels did not differ between baseline and exams. Higher sAA levels were related to higher concurrent subjective distress, and higher depressive and social isolation symptoms on the BSI were related to lower sAA during exams. Results from this study, in combination with previous validation data, suggest that the sAA biosensor is a promising tool for point-of-use measures of exposure to stress.

BEHAVIORAL PROBLEMS IN CHILDREN WITH LEARNING DIFFICULTIES ACCORDING TO THEIR PARENTS AND TEACHERS

INTRODUCTION: Learning difficulties (LDs) are associated with increased comorbidity, especially depression and anxiety. Studies have shown that 24% to 52% of children with LDs present with behavioral problems (BPs). OBJECTIVE: The aim of our study was to evaluate whether parents' and teachers' opinions concerning BPs in children with LDs are identical. METHODS: For this purpose, 658 students (aged 7–10 years) in elementary schools were evaluated by specialized questionnaires for parents and teachers. Of those students, 102 (15.5%) were identified as having LDs according to their teachers. The questions regarded symptoms of depression, anxiety/stress, irritability, and other BPs. RESULTS: Our findings in children with LDs are summarized in Table 1. CONCLUSIONS: BPs resulting from reduced self-confidence and anxiety/stress were observed at a higher rate by the teachers than by the parents, who more often acknowledged symptoms of social isolation and aggressive behavior. Stress was the BP about which parents and teachers gave identical replies. TABLE 1.Behavioral Problems in Children With LDsTeachers and Parents Agree That There Are No BPs, %Teachers and Parents Agree That There Are BPs, %Only the Teachers Consider That There Is a BP, %Only the Parents Consider That There Is a BP, %Reduced self-confidence24.626.342.17.0Complains of headache/bellyache19.428.437.314.9Feeling tired frequently13.624.256.16.1Other children tease him/her42.613.216.227.9Being alone, without friends37.111.335.516.1Being unreliable48.412.510.928.1Often fights with other children48.520.613.217.6Increased irritability36.820.611.830.9

A 9/11 Parent Support Group

This article describes how the author brought together a group of parents who had lost adult children in the September 11, 2001 World Trade Center attack. It chronicles the group’s progress at different stages with special emphasis given to the first year. The author addresses the importance of encouraging member–to–member dialogue and bonding, as a means of reducing the symptoms of social isolation, emotional numbing, and intrusive imagery. The powerful grip of induced feelings on the leader and the importance of a consultant to manage this are highlighted as well as the complexity of ending such a group.

Longitudinal Course of Schizophrenia Spectrum Symptoms in Offspring of Psychiatrically Hospitalized Mothers

The aim of this study was to describe schizophrenia spectrum symptoms (SZSD) in children and adolescents with schizotypal personality disorder (SPD) as adults. There are no descriptive studies of children who develop into adults with SPD. Twelve offspring of psychiatrically hospitalized mothers (6 mothers with schizophrenia), were compared with 11 socioeconomic status (SES)-matched offspring of control, non-ill mothers. Offspring were evaluated clinically and psychometrically between infancy and 2, 10, 15 years of age, and adulthood. Adult Axis I and II diagnoses were made blind to infant and parent status. Six hospitalized mothers were diagnosed with schizophrenia, 6 with other severe psychopathology. Offspring with SZSD more likely had schizophrenic mothers, and childhood deteriorating IQs, symptoms of social isolation, constricted affect, digressive speech, suspiciousness, and excessive social anxiety. Global assessment scores in SZSD offspring were lower in childhood and adulthood than comparison offspring. Children with SZSD met currently accepted criteria for schizotypy; 3 by 10 years of age, and 2 by 19 years of age. Differential diagnosis is discussed. An appendix of case histories is presented.

The biological basis of schizotypal personality disorder

AbstractSchizotypal personality disorder is the DSM equivalent of the ICD category schizotypal disorder. It may be seen as part of the schizophrenia spectrum of disorders. Patients with schizotypal personality disorder (SPD) share many features with schizophrenic patients. These include symptoms of social isolation and cognitive impairment. They also share imaging and biochemical evidence of brain dysfunction, and genetic similarities. SPD patients, however, for some reason do not become chronically psychotic. The study of schizotypal patients is of great importance in attempting to clarify the genetic and biological basis of the schizophrenia spectrum. It is also important in helping to delineate the differences between schizophrenic and schizotypal patients, and to distinguish those factors that protect the schizotypal patient from becoming floridly psychotic. In this article we present recent findings regarding the biological basis of schizotypal personality disorder. We illustrate the contribution of these findings to our understanding of risk and protective factors in the schizophrenia spectrum.