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Adolescents with disabilities in Jordan, and particularly girls, are marginalized within their household, often isolated from their peers and communities, at greater risk of violence, and have limited access to opportunities for education, work, and agency. This paper focuses on intersectionality-informed participatory and qualitative research. Through two case studies we explore the ways that gender, disability, and refugee status intersect to produce particular experiences of social exclusion, which in turn highlight entrenched and complex structural inequalities. [ABSTRACT FROM AUTHOR]

Aims: Prolonged loneliness and severe stress are increasingly recognised as public health concerns and considered risk factors for mental disorders, somatic illnesses and mortality. Loneliness and perceived stress also often co-occur; however, their longitudinal relation remains unclear. To the best of our knowledge, this is the first study aiming to investigate the longitudinal relation between loneliness and perceived stress independently of cross-sectional associations and time effects. Methods: Designed as a population-based cohort study with repeated measurements, the present study included individuals aged 16–80 years at baseline who participated in the Danish National Health Survey ('How are you?') in 2013 and 2017 (N = 10,159; response rate = 50%). Structural equation modelling was used to examine associations between loneliness and perceived stress in the total sample and across age groups (i.e., 16–29, 30–64 and 65–80 years). Results: The models indicated bidirectional relations between loneliness and perceived stress. The standardized cross-lagged path from loneliness to perceived stress (β: 0.12, 95% confidence interval (CI) (0.08, 0.16), p < 0.001) and from perceived stress to loneliness (β: 0.12, 95% CI (0.07, 0.16), p < 0.001) both corresponded to small effect sizes in the total sample. Additionally, the results indicated strong cross-sectional associations, especially among adolescents and young adults (16–29 years), and high temporal stability, especially among the elderly (65–80 years). Conclusions: Loneliness and perceived stress mutually predict each other over time. The finding of both substantial bidirectional and cross-sectional associations demonstrates an interdependence between loneliness and perceived stress that may be relevant to consider in future interventions. [ABSTRACT FROM AUTHOR]

Background: Scarce are the studies focusing on initiation of new mental health service use (MHSU) and distinguishing individuals who have sought services but have been unsuccessful in accessing these. Aims: Assessing the factors associated with initiating new MHSU as compared to no MHSU due to self-reported no need, no MHSU due to health system and personal barriers and MHSU using resources already in place. Methods: The sample included participants (n = 16,435) in the five established regional cohorts of the Canadian Partnership for Tomorrow's Health (CanPath) who responded to the CanPath COVID-19 health surveys (May–December 2020 and January–June 2021). Multinomial regression analyses were carried out to study MHSU since the pandemic (March 2020) as a function of predisposing, enabling and need factors. Analyses were carried out in the overall sample and restricted to those with moderate and severe symptoms (MSS) of depression and/or anxiety (n = 2,237). Results: In individuals with MSS of depression and/or anxiety, 14.4% reported initiating new MHSU, 22.0% had no MHSU due to barriers and personal reasons and 36.7% had no MHSU due to self-reported no need. Age, living alone, lower income, a decrease in income during the pandemic and health professional status were associated with MHSU. Younger adults were more likely to initiate MHSU during the pandemic than older adults who reported not being comfortable to seek mental health care or self-reported no need. Individuals living alone and with lower income were more likely to report not being able to find an appointment for mental health care. Conclusions: Awareness campaigns focusing on older adults that explain the importance of seeking treatment is needed, as well as sensitising health professionals as to the importance of informing and aiding individuals at risk of social isolation and lower socio-economic status as to available mental health resources and facilitating access to care. [ABSTRACT FROM AUTHOR]

Social experiences are of great importance in late life, and the need to belong may play a key role in shaping those experiences. A higher need to belong may motivate older adults to maintain a wide variety of social connections (e.g., family ties, friends, acquaintances, group engagement), yet may also lead to higher risks of feeling unsatisfied and lonely. However, little research examines how the need to belong may shape older adults' social life in the daily context. This study examines the associations between older adults' need to belong, daily social engagement, and transient loneliness in their everyday life. Older adults (N = 299) aged 65–89 completed the Need to Belong Scale, measures of their social networks, and ecological momentary assessment (EMA) surveys for five to six days. At each three-hour assessment, they reported in-person and phone contact with a variety of social partners (e.g., family, friends, acquaintances, etc.), whether they engaged in a social group, and rated their feelings of loneliness. In multilevel models, the need to belong did not predict the variety of partners encountered in-person or by phone, but predicted a greater likelihood of engagement with social groups. Older adults with a higher need to belong reported that they felt lonelier at three-hour intervals throughout the day, but this association was attenuated when they had in-person encounters with a greater variety of social partners. Group engagement was associated with feeling less lonely, whereas phone communication was associated with feeling more lonely, regardless of the need to belong. The findings suggest that social engagement with a variety of types of social partners may help satisfy older adults' need to belong, and highlight the unique benefits that in-person contact (vs. phone contact) and group engagement may confer to mitigate older adults' loneliness. [ABSTRACT FROM AUTHOR]

Background: Intimate partner relationships foster individuals' well-being throughout the lifespan. However, dissatisfying or conflict-laden relationships can have a detrimental impact on well-being and relationship quality. The majority of older adults live together with a spouse/partner, and intimate relationships are one of the most important social contexts in their daily lives. Purpose: Expanding on previous research, we examined the role of previous conflict on experiences of loneliness and affect in the daily lives of older partners from a dyadic perspective. Relationship duration and quality, personality traits (neuroticism and extraversion), conflict frequency during the measurement period, physical health as well as age were considered as moderators. Study Sample and Data Analysis: We used data from an experience sampling study with 151 older heterosexual couples (302 participants; 65+ years old) reporting on their positive and negative affect, loneliness, and previous experience of relationship conflict 6 times a day for 14 days. Data were analyzed using dyadic multilevel models. Results: For both men and women within couples, previous conflict was associated with an increased experience of negative affect and loneliness and a decreased experience of positive affect. Higher neuroticism predicted less positive and more negative affect following conflict for women and more loneliness for men. Higher relationship satisfaction predicted less increase in negative affect after conflict for female partners. Age, relationship duration, physical health, extraversion, and the number of conflict episodes showed no moderating effects. Conclusions: Our results support the notion that relationship conflict deteriorates emotional well-being in old age and renders older adults lonelier even in the context of intimate partner relationships. [ABSTRACT FROM AUTHOR]

This study aimed to address gaps in understanding of the lived experiences of caregivers of persons with mental illness in low-income countries. It was conducted among caregivers of persons with mental illness making use of a free non-governmental clinic in and around Chennai, India. The study adopted a qualitative methodology, with semi-structured interviews and life history exercises (n = 29) and six focus group discussions with caregivers (n = 21) and mental health professionals and community-based workers (n = 39). The experiences of caregivers were analyzed in the framework of "The Banyan model of caregiving," which identifies six phases. Major themes in caregivers' experience were: embarrassment and losing honor; fear; awareness; stigma and social exclusion; and reduced social interaction and loneliness. Posttraumatic growth considered as the result of caregiver experiences was found to consist mainly of personal growth and focusing on positive life experiences. Lost opportunities particular to the context of Tamil Nadu were described as the inability to get married, obtaining less education than desired, and loss of employment. Siblings faced lower levels of burden, while elderly mothers experienced especially high levels of burden and lack of happiness in life. Caregiver gains were identified as greater compassion for other people with disabilities, resulting in a desire to help others, as well as increased personal strength and confidence. Understanding the nuances of the caregiving experiences over time can provide a framework to devise more fine-tuned support structures that aim to prevent reductions in social interaction and lost opportunities, and improve a sense of meaning, in order to assist caregivers to continue providing care for their relatives with mental illness in a context with scarce mental health resources. [ABSTRACT FROM AUTHOR]

Background: Research has identified that loneliness during COVID-19 is associated with co-residence status, and individuals living alone were more likely to report loneliness. However, it may not apply to sexual minority people as those living with their family may experience different sexual orientation-related stressors. Aims: This study aims to (1) understand the pattern of living arrangement and loneliness among sexual minority people during COVID-19, (2) examine parental acceptance, family conflict and loneliness among sexual minority people with different living arrangements and (3) investigate the association between parental acceptance and loneliness among sexual minority people with different living arrangements during COVID-19. Method: An online survey with 1,457 Hong Kong sexual minority people was conducted. Results: Sexual minority people living with their partner(s) were less likely to report loneliness. Concurrently, those living with their parent(s) showed a similar level of loneliness as those who lived alone. Living with parent(s) during COVID-19 does not necessarily alleviate feelings of loneliness among them, which we argue may be due to parental unacceptance of their sexual orientation. Nearly half of the respondents stated that their parent(s) were unaccepting of their sexual orientation and 41.8% of them indicated an increase in family conflict during COVID-19. For those living with their parent(s), parental unacceptance is related to more family conflict during COVID-19, which in turn is associated with higher levels of loneliness. Conclusions: Not living with unaccepting parents may reduce family conflict and feelings of loneliness, but this has not been the case for many respondents from a city with high population density and cost of living. Social and mental health service providers need to come up with timely and appropriate interventions to address the unique needs faced by sexual minority people during and after the COVID-19 pandemic. [ABSTRACT FROM AUTHOR]

The aim of this study is to understand the phenomenon of isolation due to COVID-19 through the lens of a feminist perspective. It focuses on daily life experiences of oppressed individuals living in Çankaya, whose spatial, socio-cultural, and political positions intersect with their age, disability, and gender. Semi-structured in-depth interviews were conducted with 37 people, of different ages, disabilities, and gender statements. Findings show that multi-dimensional oppressions and discriminations have undermined solidarity relations and result in more profound loneliness. The results highlight that new social work approaches involving intersectional feminist consciousness of oppressions need to be developed. [ABSTRACT FROM AUTHOR]

There is evidence that positive and negative social exchanges have different implications for various psychological outcomes, but research has been limited by a lack of multidimensional and parallel measures and underlying processes explaining the implications are not well understood. In the present longitudinal study, we address these gaps in the literature by using parallel measures of positive and negative social exchanges to predict both positive and negative aspects of emotional health in a sample of 113 first-year college students and by testing for loneliness as a mediator. Consistent with a domain-specific effects model, increases in negative exchanges were associated with increases in negative but not positive emotional well-being and vice versa. Changes in loneliness partially mediated these effects. [ABSTRACT FROM PUBLISHER]

We aimed to obtain a greater understanding of the characteristics of social relations and experiences of social isolation among homeless people, substance users and other socially marginalized users of shelters and drop-in centres in Denmark. Based on in-depth interviews with 46 shelter/centre users, we created a typology of five groups: the socially related and content, the satisfied loners, the socially related but lonely, the socially isolated and thein-betweens. The characteristics of the groups did not seem related to interviewees’ degree of social marginalization. Professionals played a pivotal role, providing social support and help to improve interviewees’ life circumstances. The findings provide insight into the social lives of shelter/centre users that is useful for developing initiatives to improve their social wellbeing. [ABSTRACT FROM PUBLISHER]