Pia Schmees, Johanna Braig, Hannah Nilles, Denise Kerkhoff, Z. Demir, J. Rueth, A. Lohaus, Heike Eschenbeck
{"title":"Well-Being and Resources of Minors With Refugee Background in Comparison to Minors With Migration or Native Background","authors":"Pia Schmees, Johanna Braig, Hannah Nilles, Denise Kerkhoff, Z. Demir, J. Rueth, A. Lohaus, Heike Eschenbeck","doi":"10.1027/2512-8442/a000099","DOIUrl":"https://doi.org/10.1027/2512-8442/a000099","url":null,"abstract":"Abstract. Background: Studies on the health of minors with refugee background (RM) often focus on symptoms and risks. In contrast to these deficit-oriented approaches, the present study examined well-being and resources of RM. Aims: The aim was to get an overview of the extent to which RM differ from both minors with migration (MM) as well as native (NM) background regarding well-being and resources. In addition, the study sought to identify resources of RM that are significant for well-being. General personal and social resources, religious identity and practice as well as multicultural resources (bilingualism, ethnic identity) were examined. Method: The study was conducted in Germany with minors aged 8–16 years. RM ( n = 209), MM ( n = 535) and NM ( n = 858) completed questionnaires. Comparative analyses and multiple regression analyses were computed. Results: RM showed lower well-being and fewer social resources than MM and NM. For personal resources, the group differences were less consistent. Personal and social resources predicted the well-being of minors. While multicultural resources were not significant, especially the resources sense of coherence, integration into peer group, and religious identity positively predicted the well-being of RM. Limitations: The group of MM is very heterogeneous. Further studies should differentiate the group of MM more precisely. Conclusion: The differences in well-being among RM, MM and NM can largely be explained by differences in resources. Religious identity is an important available resource for RM. Sense of coherence and integration into peer groups should be given special attention in health promotion for RM.","PeriodicalId":51983,"journal":{"name":"European Journal of Health Psychology","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87348388","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hannah Nilles, Denise Kerkhoff, Z. Demir, Johanna Braig, Pia Schmees, J. Rueth, Heike Eschenbeck, A. Lohaus
{"title":"Coping of Young Refugees in Germany","authors":"Hannah Nilles, Denise Kerkhoff, Z. Demir, Johanna Braig, Pia Schmees, J. Rueth, Heike Eschenbeck, A. Lohaus","doi":"10.1027/2512-8442/a000094","DOIUrl":"https://doi.org/10.1027/2512-8442/a000094","url":null,"abstract":"Abstract. Background: Coping is considered to have an important influence on well-being, especially in adolescent refugees dealing with a high amount of stress. In addition, gender differences in coping are a common topic for research and are often attributed to differences in socialization between boys and girls. Aims: The study aims at clarifying the gender differences in coping strategies used by non-Western adolescents. Additionally, associations with aspects of socialization, in particular Gender Role Attitudes (GRA), on gender differences are investigated. Method: Refugees from Syria, Iraq, and Afghanistan ( N = 106, 55% male) aged 11–18 years completed questionnaires in schools or housing facilities. Associations between gender, GRA, coping strategies, and well-being were investigated using moderation and regression analyses. Results: Gender differences found in previous literature could, in part be replicated. Refugee girls reported more anger-related emotion regulation than boys did. However, GRA did not show any connections to coping strategies. Limitations: Most limitations result from low reliabilities and possible biases due to the use of self-reports. Conclusion: The more frequent use of anger-related emotion regulation as the only gender difference replicated in this study highlights the importance of research with refugee samples to prevent over-generalization of previous results from Western cultures.","PeriodicalId":51983,"journal":{"name":"European Journal of Health Psychology","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74452258","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Social Support From Friends Among Unaccompanied Young Refugees","authors":"Serap Keles, B. Oppedal","doi":"10.1027/2512-8442/a000098","DOIUrl":"https://doi.org/10.1027/2512-8442/a000098","url":null,"abstract":"Abstract. Background: Social support is an important resource and source of self-esteem and belongingness for all children and youths. Yet, for unaccompanied asylum-seeking and refugee minors, who leave their home countries without a caretaking adult, extra-familial social, supportive networks in exile may be crucial for their well-being. We propose that their origin in collectivist cultures involves resources for re-establishing social networks in countries of resettlement. Aim: The overall aim of this study is to examine if cultural factors such as values and self-construals are associated with variations in perceived social support from friends among unaccompanied young refugees. We propose a model in which related self-construals mediate the association between collectivist values and perceived friend support. Method: We collected cross-sectional self-report questionnaire data from 611 unaccompanied young refugees (84.5% male; Mage = 18.49 years, SD = 2.57 years) who had been granted residence in Norway. Results: Structural equation analyses revealed that higher levels of collectivist values were associated with stronger related self-construals, which, in turn, were positively associated with stronger perceived support from friends. However, related self-construals only acted as a partial mediator. Limitations: The generalizability of our findings to other groups of immigrant children and youth and/or to unaccompanied refugees in other countries is unknown and should be examined in future studies. Conclusion: Our results contribute new theoretical knowledge about how the development of social supportive relationships in the diaspora is embedded in cross-cultural contexts. Maintaining aspects of one’s heritage culture can promote resilient outcomes among unaccompanied young refugees.","PeriodicalId":51983,"journal":{"name":"European Journal of Health Psychology","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78477938","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Role of Maternal Perceived Social Support on the Relation Between Prenatal Depressive Symptoms and Labor Experience","authors":"F. Tani, Simon Ghinassi, L. Ponti","doi":"10.1027/2512-8442/a000103","DOIUrl":"https://doi.org/10.1027/2512-8442/a000103","url":null,"abstract":"Abstract. Background: Depression during pregnancy is a severe risk factor for negative outcomes in women and children. In particular, prenatal symptoms of depression are linked to a more complicated labor experience, characterized by more painful labor and more frequent recourse to epidural analgesia and/or oxytocin. Although this link is evident, less is known about possible mediators of this relationship. Aims: This study investigated the mediating role of perceived maternal social support on the relationship between prenatal maternal depression and labor experience. Methods: Participants were 152 Italian nulliparous women ( Mage = 31.68 years, SD = 4.94). Data were collected at two different times: T1 (at week 30–33 of gestation) women completed the Beck Depression Inventory and the Maternal Social Support Scale; T2 (at childbirth) clinical data regarding labor was registered from hospital records (duration of labor in hours and administration of oxytocin and epidural analgesia in hours). Results: The Structural Equation Modeling showed that prenatal symptoms of depression are linked to a more complicated labor experience (β = .31, p < .001). However, the quality of the maternal social support can mediate this relationship (indirect effect: β = .17, p < .000). Limitations: The complexity of the proposed model, the characteristics of the sample, the variables investigated, and the questionnaires used are discussed. Conclusion: The perception of having a good social network is an important predictor of women’s health in the transition to motherhood, decreasing the negative effect of maternal prenatal depressive symptoms on the quality of women’s labor experience.","PeriodicalId":51983,"journal":{"name":"European Journal of Health Psychology","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2021-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80098735","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Socio-emotional problems and learning skills of Roma and recently arrived refugee children in German elementary schools","authors":"Sandy Chwastek, B. Leyendecker, J. Busch","doi":"10.31219/osf.io/z7sd4","DOIUrl":"https://doi.org/10.31219/osf.io/z7sd4","url":null,"abstract":"Background: In Germany, many recently arrived and minority families live in multi-ethnic, high-poverty districts. Multiple risk factors threaten their children’s development.Aims: We examined the socio-emotional problems of these children in relation to their academic learning skills and executive functioning. Method: We compared teacher-rated socio-emotional problems of n = 112 Roma children (90% foreign-born), n = 101 refugee children (all foreign-born), and n = 56 German-born immigrant children (age in months: M= 99.66, SD= 13.61) between groups and to norm data. We related socio-emotional problems to receptive vocabulary, cognitive reasoning, motor skills, and executive functioning in n = 83 refugee and Roma children.Results: Roma children showed higher rates above cutoff than norm data in all subscales, more problems in all subscales but emotional symptoms than immigrant children, and more hyperactivity/inattention and peer problems than refugee children. Refugee children showed higher rates above cutoff than norm data in all subscales and more peer problems than immigrant children. Academic learning skills were overall below average among recently arrived children. Prosocial behavior was positively linked to fine motor skills. Other socio-emotional problems were not linked to academic learning skills and executive functioning. Gross and visuo-motor skills correlated positively with other academic learning skills. Limitations: We analyzed cross-sectional data. We did not include risk factors or non-immigrant German children.Conclusion: The heightened socio-emotional problems and low academic learning skills of refugee and particularly Roma children in high-poverty districts could jeopardize their educational trajectories. Additional support measures could increase their chances for educational participation.","PeriodicalId":51983,"journal":{"name":"European Journal of Health Psychology","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2021-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84220602","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hannah M Fisher, Chloe J Taub, Suzanne C Lechner, Michael H Antoni
{"title":"Greater Post-Surgical Pain Predicts Long-Term Depressed Affect in Breast Cancer Patients: The Role of Coping.","authors":"Hannah M Fisher, Chloe J Taub, Suzanne C Lechner, Michael H Antoni","doi":"10.1027/2512-8442/a000084","DOIUrl":"https://doi.org/10.1027/2512-8442/a000084","url":null,"abstract":"<p><strong>Background: </strong>Depressed affect is observed during primary treatment for early-stage breast cancer and often persists into survivorship. Pain can influence the long-term emotions of women with breast cancer. Behavioral mechanisms explaining this relationship are less clear. Coping during primary treatment may play a role in the association between pain and depressed affect.</p><p><strong>Aims: </strong>Our observational study examined a longitudinal mediation model testing whether post-surgical pain intensity predicted depressed affect 5 years later via disengagement and/or engagement coping at the end of treatment.</p><p><strong>Method: </strong>Women (<i>N</i> = 240) with stage 0-III breast cancer completed measures of pain, coping, and depressed affect 4-10 weeks post-surgery, and 12 months and 5 years later.</p><p><strong>Results: </strong>Structural modeling yielded measurement models of 12-month disengagement and engagement coping. Direct effects emerged between post-surgical pain intensity and 12-month disengagement (β = .37, <i>p</i> < .001) and engagement coping (β = .16, <i>p</i> < .05). Post-surgical pain intensity was also related to 5-year depressed affect (β = .25, <i>p</i> < .05). Disengagement and engagement coping were not associated with depressed affect at 5-year follow-up, and there was no evidence of mediation.</p><p><strong>Limitations: </strong>This is a secondary analysis of data from a trial conducted several years ago, and may not generalize due to a homogenous sample with attrition at long-term follow-up.</p><p><strong>Conclusions: </strong>Greater post-surgical pain intensity predicts more disengagement and engagement coping at the end of primary treatment, as well as depressed affect during survivorship. Managing post-surgical pain may influence the emotions of survivors of breast cancer up to 5 years later, possibly through coping or non-coping processes.</p>","PeriodicalId":51983,"journal":{"name":"European Journal of Health Psychology","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9511975/pdf/nihms-1795418.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40379058","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Efficacy Assessments as Predictors of Uncertainty Preferences","authors":"E. Link, E. Baumann","doi":"10.1027/2512-8442/a000092","DOIUrl":"https://doi.org/10.1027/2512-8442/a000092","url":null,"abstract":"Abstract. Background: Health challenges can cause feelings of uncertainty that individuals intend to reduce, increase, or maintain. Those goals are connected to different information seeking and avoidance behaviors, building four uncertainty preferences. Aims: We aim to understand what drives people to seek or avoid information through a more differentiated look at the underlying uncertainty preferences and their determinants. Our starting point to explain different uncertainty preferences are stable, individual traits determining individuals’ efficacy assessments. Method: We conducted a secondary analysis of an online survey among the German public in a sample with stratified demographic characteristics ( N = 3,000). The questionnaire measured different uncertainty preferences as well as coping efficacies and communication efficacy. Regression analyses determined the relevance of these predictors for the four uncertainty preferences. Results: The considered efficacy assessments explained a greater amount of variance in uncertainty preferences applying information seeking than information avoidance, but the influencing patterns are similar. Only health literacy as a communication efficacy was positively associated with both preferences applying information seeking and negatively associated with both preferences applying information avoidance. Limitations: The concept of uncertainty preferences should be critically assessed concerning its completeness. The low explanatory power of efficacy assessments for preferences underlying information avoidance strategies shows that further research is needed to identify relevant predictors. Conclusion: The findings suggest that efficacy assessments provide cognitive resources for goal-oriented uncertainty management, but a deeper understanding of specific underlying mechanisms of the different preferences requires further examination.","PeriodicalId":51983,"journal":{"name":"European Journal of Health Psychology","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2021-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85619021","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Jones, A. Smakowski, Alicia Hughes, A. David, T. Chalder
{"title":"Illness-Related Cognition, Distress and Adjustment in Functional Stroke Symptoms, Vascular Stroke, and Chronic Fatigue Syndrome","authors":"A. Jones, A. Smakowski, Alicia Hughes, A. David, T. Chalder","doi":"10.1027/2512-8442/a000093","DOIUrl":"https://doi.org/10.1027/2512-8442/a000093","url":null,"abstract":"Abstract. Background: High rates of psychological distress are reported in functional conditions and vascular stroke, but there is limited understanding of how patients with functional neurological symptoms in stroke settings respond to symptoms. Aims: This study compared patients with functional stroke symptoms to those with vascular stroke and chronic fatigue syndrome (CFS). Methods: A prospective cohort of 56 patients with functional stroke symptoms were age-gender matched to patients with vascular stroke and CFS. Analysis of variance compared groups on cognitive and behavioral responses to symptoms, psychological distress, and functioning. Sensitivity analyses controlled for known confounders. The proportions of clinical anxiety and depression were compared between groups. Results: The functional stroke symptom group had a higher proportion of clinical anxiety cases than the CFS group, and a higher proportion of clinical depression cases than the vascular stroke group. Patients with functional stroke symptoms reported the highest rate of “damage beliefs” and “all-or-nothing” behaviors and greater symptom focusing and resting behavior than patients with vascular stroke. Limitations: Larger cohorts and a longitudinal design would strengthen study findings. Conclusion: Compared to patients with vascular stroke or CFS, patients with functional stroke symptoms show a somewhat distinct profile of illness-related beliefs and behaviors, as well as higher rates of clinical anxiety. Understanding such group differences provides some insights into aetiology and cognitive-behavioral responses. Appropriate support and referral should be available to patients with functional stroke symptoms to address distress and reduce the likelihood of severe impairment.","PeriodicalId":51983,"journal":{"name":"European Journal of Health Psychology","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2021-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82113792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Women Tend to Perceive Greater Risks Associated With the COVID-19 Outbreak and Are More Likely to Follow Precautionary Measures","authors":"G. Prati, S. Stefani, I. Barbieri","doi":"10.1027/2512-8442/a000089","DOIUrl":"https://doi.org/10.1027/2512-8442/a000089","url":null,"abstract":"Abstract. Background: The COVID-19 pandemic may have a different impact on men and women. Aim: This study aimed to investigate gender differences in risk perception, attitudes toward quarantine measures, and adoption of precautionary behaviors during the COVID-19 pandemic. Method: We employed a cross-sectional web-based survey design. The sample included 1,569 people living in Italy. The survey was conducted during the national lockdown in April 2020 when the Italian government extended the quarantine measures to the whole country. Results: Results showed that women reported higher scores on perceived severity, worry, precautionary behaviors, and attitudes toward quarantine restrictions. Gender differences in the perceived likelihood of infection with SARS-CoV-2 were not significant. Using mediation analysis, we found that the relationship between gender and precautionary behaviors was explained by attitudes toward quarantine restrictions, perceived severity, and worry. Limitations: The use of a cross-sectional design precludes causal inference. Conclusion: Our results point to the need to develop and implement interventions that address (1) the higher levels of risk perception of the COVID-19 outbreak among women and (2) the lower scores on risk perception, attitudes toward quarantine restrictions, and adoption of precautionary behaviors during the COVID-19 pandemic among men.","PeriodicalId":51983,"journal":{"name":"European Journal of Health Psychology","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2021-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76190672","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rieka von der Warth, A. Nau, M. Rudolph, Matthias Stapel, J. Bengel, M. Glattacker
{"title":"Treatment Beliefs in Patients with Mental Disorders in Psychosomatic Rehabilitation","authors":"Rieka von der Warth, A. Nau, M. Rudolph, Matthias Stapel, J. Bengel, M. Glattacker","doi":"10.1027/2512-8442/a000087","DOIUrl":"https://doi.org/10.1027/2512-8442/a000087","url":null,"abstract":"Abstract. Background: The efficacy of inpatient psychosomatic rehabilitation in Germany can be considered proven. However, a significant number of patients with mental disorders remain unsatisfied with rehabilitation or being non-responders. Illness beliefs, as the core element of the Common-Sense Model of Self-Regulation (CSM), are widely known as predictors of various health outcomes. Yet, little is known about treatment beliefs as an extension of the CSM and their impact on health outcomes. Aim: As treatment beliefs differ in relation to the treatment, this study aimed to explore rehabilitation-related treatment beliefs in psychosomatic rehabilitation patients with mental disorders before inpatient admission. Thus, knowledge of the concept of rehabilitation-related treatment beliefs will be added. Methods: N = 10 semi-structured telephone interviews were conducted in September/October 2018. A purposive sampling approach was chosen based on the criteria gender, age, and diagnosis. Participants were asked about their rehabilitation expectations starting with an open narrative question. Interviews were analyzed using qualitative content analysis. Results: Participants had a mean age of 48.3 years ( SD = 9.42); five participants were female and five male. 9 main themes with 32 subthemes as components of the rehabilitation-related treatment beliefs were identified: reasons for rehabilitation, conditions within the clinic, rehabilitation planning, organization of the rehabilitation, the content of the rehabilitation, results of the rehabilitation, concerns, expectations toward one’s behavior, and contact to other patients. Limitation: Our sample was too small to analyze the data for different subgroups. Conclusion: Results show that rehabilitation-related treatment beliefs are multidimensional, addressing different aspects of psychosomatic rehabilitation.","PeriodicalId":51983,"journal":{"name":"European Journal of Health Psychology","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2021-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75499501","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}