ObjectiveWhile research found heterogeneous changes in mental health during the COVID-19 pandemic, less is known about the long-term changes in mental health in psychiatric groups. Therefore, we... Show moreObjectiveWhile research found heterogeneous changes in mental health during the COVID-19 pandemic, less is known about the long-term changes in mental health in psychiatric groups. Therefore, we applied a data-driven method to detect sub-groups with distinct trajectories across two years into the pandemic in psychiatric groups, and described their differences in socio-demographic and clinical characteristics.MethodWe conducted sixteen rounds of questionnaires between April 2020 and February 2022 among participants (n = 1722) of three psychiatric case–control cohorts that started in the 2000's. We used Growth Mixture Modelling and (multinomial) logistic regression to identify characteristics associated with trajectory membership.ResultsWe found low decreasing (1228 [72%] participants), intermediate (n = 348 [22%] participants) and high stable (106 [6%] participants) trajectories of depressive symptoms; decreasing low/intermediate (1507 [90%] participants) and high stable (161 [10%] participants) trajectories of anxiety symptoms; and stable low (1109 [61%] participants), stable high (315 [17%] participants), temporary lowered (123 [9%]) and temporary heightened (175 [13%] participants) trajectories of loneliness. Chronicity and severity of pre-pandemic mental disorders predicted unfavourable sub-group membership for all outcomes. Being female, having a low education and income level were associated with unfavourable trajectories of depression, being younger with unfavourable trajectories of anxiety and being female and living alone with unfavourable trajectories of loneliness.ConclusionWe found relatively stable trajectories of depression and anxiety symptoms over two years, suggesting low heterogeneity in outcomes during the pandemic. For loneliness, we found two specific sub-groups with temporary increase and decrease in loneliness during the pandemic. Show less
Barreto, M.; Breen, J.A. van; Victor, C.; Hammond, C.; Eccles, A.; Ritchins, M.; Qualter, P. 2022
The current study uses data from The BBC Loneliness Experiment to explore the social stigma of loneliness and how it varies by gender, age, and cultural individualism. We examined stigmatizing... Show moreThe current study uses data from The BBC Loneliness Experiment to explore the social stigma of loneliness and how it varies by gender, age, and cultural individualism. We examined stigmatizing judgements of people who are lonely (impressions of those who feel lonely and attributions for loneliness), perceived stigma in the community, and self-stigma (shame for being lonely and inclination to conceal loneliness), while controlling for participants’ own feelings of loneliness. The scores on most measures fell near the mid-point of the scales, but stigmatizing perceptions depended on the measure of stigmatization that was used and on age, gender, and country-level individualism. Multi-level analyses revealed that men had more stigmatizing perceptions, more perceived community stigma, but less self-stigma than women; young people had higher scores than older people on all indicators except for internal vs external attributions; and people living in collectivist countries perceived loneliness as more controllable and perceived more stigma in the community than people living in individualistic countries. Finally, young men living in individualistic countries made the most internal (vs. external) attributions for loneliness. We discuss the implications of these findings for understandings of loneliness stigma and interventions to address loneliness. Show less
The findings presented in this thesis fit the hypothesis that optimism is associated with enhanced mental well-being and longevity, but also that levels of optimism within a certain person are... Show moreThe findings presented in this thesis fit the hypothesis that optimism is associated with enhanced mental well-being and longevity, but also that levels of optimism within a certain person are rather stable over time and resistant to change. However, this stability of optimism does not necessarily imply that no fluctuations in optimism are possible. Certain positive or negative life events are likely to provoke small (but temporary) changes in optimism. But it is possible that dispositional optimism can hardly be learned and that only little changes are possible in an otherwise relatively stable personality trait. Thoughtfully designed future clinical and epidemiologic studies are required to explore the potential benefits of optimism. But it certainly would not hurt __ and it might put a smile on your face__ to see the glass half full. Show less
