Low-Income Caregivers with Young Children Experience Risk and Resilience Through Pandemic-Related Stressors

In March 2020, United States government implemented health and safety mandates, including school closures, to prevent the spread of the coronavirus disease (COVID-19). As a result, some caregivers with young children were forced to take on new roles. Low-income households with young children appeared to be more highly impacted than other groups, experiencing acute pandemic-related stressors on top of previous vulnerabilities. Using qualitative analysis, this study examined how low-income caregivers with young children adapted to pandemic-related stressors and how stressors may have altered relationships and well-being in the household (Daks et al., 2020). Two research questions were examined: (1) how have relationships been altered by the pandemic, and (2) how have pandemic-related resource disruptions impacted well-being? Low-income caregiver responses (N= 38) to two open-response questions were analyzed using a thematic analysis approach. Researchers extracted four themes answering the research questions. Findings delineate that low-income caregivers with increased resources appeared to build stronger relationships with their child/ren, whereas caregivers who encountered more stressors reported reduced feelings of well-being. Additionally, young children experienced feelings of isolation, as they missed relationships outside of the household. When lockdowns were lifted, their relationships outside the household were reported to have improved. These findings can be used to support families and young children in areas where they are most vulnerable post-pandemic

A systematic review of frameworks for the interrelationships of mental health evidence and policy in low- and middle-income countries

Background: The interrelationships between research evidence and policy-making are complex. Different theoretical frameworks exist to explain general evidence–policy interactions. One largely unexplored element of these interrelationships is how evidence interrelates with, and influences, policy/political agenda-setting. This review aims to identify the elements and processes of theories, frameworks and models on interrelationships of research evidence and health policy-making, with a focus on actionability and agenda-setting in the context of mental health in low- and middle-income countries (LMICs). Methods: A systematic review of theories was conducted based on the BeHeMOTh search method, using a tested and refined search strategy. Nine electronic databases and other relevant sources were searched for peer-reviewed and grey literature. Two reviewers screened the abstracts, reviewed full-text articles, extracted data and performed quality assessments. Analysis was based on a thematic analysis. The included papers had to present an actionable theoretical framework/model on evidence and policy interrelationships, such as knowledge translation or evidence-based policy, specifically target the agenda-setting process, focus on mental health, be from LMICs and published in English. Results: From 236 publications included in the full text analysis, no studies fully complied with our inclusion criteria. Widening the focus by leaving out ‘agenda-setting’, we included ten studies, four of which had unique conceptual frameworks focusing on mental health and LMICs but not agenda-setting. The four analysed frameworks confirmed research gaps from LMICs and mental health, and a lack of focus on agenda-setting. Frameworks and models from other health and policy areas provide interesting conceptual approaches and lessons with regards to agenda-setting. Conclusion: Our systematic review identified frameworks on evidence and policy interrelations that differ in their elements and processes. No framework fulfilled all inclusion criteria. Four actionable frameworks are applicable to mental health and LMICs, but none specifically target agenda-setting. We have identified agenda-setting as a research theory gap in the context of mental health knowledge translation in LMICs. Frameworks from other health/policy areas could offer lessons on agenda-setting and new approaches for creating policy impact for mental health and to tackle the translational gap in LMICs

The Dunn Worry Questionnaire and the Paranoia Worries Questionnaire: new assessments of worry

BackgroundThe cognitive process of worry, which keeps negative thoughts in mind and elaborates the content, contributes to the occurrence of many mental health disorders. Our principal aim was to develop a straightforward measure of general problematic worry suitable for research and clinical treatment. Our secondary aim was to develop a measure of problematic worry specifically concerning paranoid fears.MethodsAn item pool concerning worry in the past month was evaluated in 250 non-clinical individuals and 50 patients with psychosis in a worry treatment trial. Exploratory factor analysis and item response theory (IRT) informed the selection of scale items. IRT analyses were repeated with the scales administered to 273 non-clinical individuals, 79 patients with psychosis and 93 patients with social anxiety disorder. Other clinical measures were administered to assess concurrent validity. Test-retest reliability was assessed with 75 participants. Sensitivity to change was assessed with 43 patients with psychosis.ResultsA 10-item general worry scale (Dunn Worry Questionnaire; DWQ) and a five-item paranoia worry scale (Paranoia Worries Questionnaire; PWQ) were developed. All items were highly discriminative (DWQ a = 1.98–5.03; PWQ a = 4.10–10.7), indicating small increases in latent worry lead to a high probability of item endorsement. The DWQ was highly informative across a wide range of the worry distribution, whilst the PWQ had greatest precision at clinical levels of paranoia worry. The scales demonstrated excellent internal reliability, test-retest reliability, concurrent validity and sensitivity to change.ConclusionsThe new measures of general problematic worry and worry about paranoid fears have excellent psychometric properties

La Réforme en France et en Italie

Le déroulement de la Réforme en France et en Italie présente en même temps des similitudes frappantes et des différences évidentes. Première rencontre consacrée aux comparaisons, aux contrastes et aux contacts entre ces deux mouvements de renouveau religieux, puissants, mais qui finalement échouent au moins partiellement, le colloque réuni à Rome les 27-20 octobre 2005 avait plusieurs objectifs : en premier lieu, étudier les rapports directs entre les individus et les événements dans ces deux pays, beaucoup plus importants que ce que beaucoup d’historiens avaient pu penser ; ensuite, favoriser la rencontre entre des méthodes et des questionnements historiographiques différents, qui doit conduire à de nouvelles voies de recherches pour chaque pays ; enfin, mener une comparaison systématique entre les deux courants pour éclairer des thématiques et des problèmes majeurs jusqu’ici rarement abordés qui suscitent de nouvelles réflexions problématiques plus larges sur les deux Réformes

Persecutory delusions and psychological well-being.

PURPOSE: Persecutory delusions are one of the key problems seen in psychotic conditions. The aim of the study was to assess for the first time the levels of psychological well-being specifically in patients with current persecutory delusions. METHOD: One hundred and fifty patients with persecutory delusions in the context of a diagnosis of non-affective psychosis, and 346 non-clinical individuals, completed the Warwick-Edinburgh Mental Well-Being Scale and symptom assessments. RESULTS: Well-being scores were much lower in the persecutory delusions group compared with the non-clinical control group. 47 % of the persecutory delusions group scored lower than two standard deviations below the control group mean score. Within the patient group, psychological well-being was negatively associated with depression, anxiety, and hallucinations. In both groups, lower levels of well-being were associated with more severe paranoia. CONCLUSIONS: Levels of psychological well-being in patients with current persecutory delusions are strikingly low. This is likely to arise from the presence of affective symptoms and psychotic experiences. Measurement of treatment change in positive mental health for patients with psychosis is recommended