Delivering Transdiagnostic Treatment Over Telehealth During the COVID-19 Pandemic: Application of the Unified Protocol

The COVID-19 pandemic has necessitated an abrupt transition to remote delivery of psychology services at a time when patients and practicing clinicians are experiencing an increase in life stressors (e.g., job loss, social isolation, need to adapt to telehealth practice), which can exacerbate mental health concerns and contribute to clinician burnout. Because the COVID-19 pandemic is affecting diverse individuals in myriad ways, these circumstances can elicit a wide range of emotions and emotional responses. Thus, treatment during this time must be able to address heterogeneous presenting problems while placing minimal burden on clinicians who are adjusting to continuously changing circumstances. Transdiagnostic, emotion-focused, cognitive behavioral treatments (CBT), such as the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders (UP), may be particularly well suited to address the challenges faced by practicing psychologists, and their patients, in the current COVID-19 pandemic. This paper discusses the applicability and adaptability of transdiagnostic treatments to telehealth, focusing primarily on the UP in the context of the COVID-19 pandemic. Further, while many CBT skills (e.g., mindfulness) can be easily translated to tele-delivery, other skills, such as exposure, can be more difficult to implement remotely, especially in the midst of a pandemic. Thus, this paper also provides practical suggestions for clinicians with regard to implementing the UP remotely.     

COVID-19, precarity and loneliness

In this paper I discuss Jungian psychological work of the trauma and loss experienced in reaction to COVID-19 with a man who represents a clinical composite. The issues of precarity, a concept used by the philosopher Judith Butler, are combined with the notions of lack and absence of French psychoanalyst André Green. The psychological and societal situation of precarity aroused the man’s childhood issues that were long repressed. The loneliness, isolation and death from COVID-19 mirrored his personal and the collective responses to the disaster from this global pandemic. He felt on the edge of collapse as what he knew of his world crashed and he found himself unable to cope. The subsequent Jungian work taking place through the virtual computer screen was taxing and restorative simultaneously for both analyst and analysand.     

COVID-19 pandemic impact on family life and exacerbated emotional and behavioral health among preschool children: A longitudinal study

Background/ObjectiveThis study aimed to examine associations of the impact of COVID-19 pandemic on family life with emotional and behavioral health among preschool children.MethodsA longitudinal study including 1595 preschool children aged 3–6 years and their families was conducted in Anhui Province. The linear regression was applied to examine associations between the impact of COVID-19 pandemic on family life and emotional and behavioral health.ResultsResults of the multivariable linear regression indicated that the severe impact of COVID-19 pandemic on family life was significantly associated with more sleep problems, poor dietary behavior habits, more anxiety symptoms, and more problematic behaviors; and these effects exhibited gender and age differences.ConclusionsThe severe impact of COVID-19 pandemic on family life significantly increased the risk for exacerbated emotional and behavioral health among preschool children. It is considered vital to identify risk factors for vulnerable families and then to implement precise interventions when necessary for emotional and behavioral health of children in these families.     

Emotions during the Covid-19 pandemic: Fear,anxiety, and anger as mediators between threats and policy support and political actions

The Covid-19 pandemic has significantly changed the lives of most people. It has been described as the most severe global health disaster of modern times by the United Nations. No doubt such a major crisis influences what citizens think of different policies, and how they become politically active, not to mention, the forceful emotional experiences that the Covid-19 pandemic brings. This study evaluates how emotions affect support for policies related to restricting the spread of the virus and economic assistance, and how emotions affect intentions to engage politically. In an experiment (N = 1,072), we manipulated emotional reactions to threat by highlighting different aspects of the pandemic. Our findings show that different experimental treatments elicit different emotions, and that fear, anxiety, and anger are all related to policy support and political action intentions, but in different ways. Fear and anger predict support for restrictive policies to limit the spread of the virus, while anxiety predicts support for economic policies. Anger and anxiety, but not fear, increase intentions to engage politically. Hence, we find support for a mechanism where different aspects of the Covid-19 crisis evoke different emotional reactions, which in turn affects policy support and political actions differently.     

Teaching College in the Time of COVID-19: Gender and Race Differences in Faculty Emotional Labor

Sex Roles - The COVID-19 pandemic placed new teaching demands upon faculty that may have exacerbated existing race and gender disparities in the amount of emotional labor they perform. The present...     

Trust in information mediates the relationship between political orientation and perceptions of the COVID-19 pandemic

The past few decades have experienced a decline in the use of traditional news sources as an increasing number of individuals rely on social media for information. Although this change has made it easier to obtain information, individuals often selectively expose themselves to information that confirms their beliefs. The current study examined if this pattern could explain political perceptions during the COVID-19 pandemic. Based on past research, it would be expected that liberals and conservatives would hold differing views of the COVID-19 pandemic. Republicans downplayed the pandemic and were more likely to consider it a hoax, while Democrats exaggerated the pandemic and were more likely to advocate for excessive measures. In this study, we collected two samples at different points during the pandemic in which we asked participants to indicate their political ideology, their perception of the COVID-19 pandemic, and the sources of information that they trusted. Our results indicated that trust in information sources mediated the relationship between political ideology and perceptions of the pandemic, suggesting that the informational sources that an individual trusted was a factor in determining perceptions of the COVID-19 pandemic.     

Emotional Reactions to COVID-19 Projections and Consequences for Protective Policies and Personal Behavior

How does the public react to information about the likely progression of COVID-19 cases in the United States? How do these reactions vary over the course of the pandemic and by partisanship, and with what consequences for policy attitudes and personal behavior? We argue that reading projections about the peak of COVID-19 cases in the United States is likely to lead to increased levels of anxiety and sadness. We expect that these effects will be more pronounced and less polarized along partisan lines earlier in the pandemic. Finally, we expect that elevated anxiety and sadness should in turn lead to greater support for protective policies to combat the pandemic and a greater inclination to engage in protective behaviors. To test these arguments, we fielded online survey experiments at three points in time (April, June, and August 2020), in which respondents were randomly assigned to a control group or one of two projections about the likely progression of COVID-19 cases in the United States. Across all three waves, we find that exposure to information about case peaks increases anxiety and sadness, though the effects get weaker over time, particularly among Republicans. We also find evidence that these elevated emotional responses increase support for protective policies and behavior.     

George Floyd’s death and COVID-19: inflection points in the Anthropocene Era?

George Floyd’s death, the COVID-19 pandemic and climate change are on a continuum from the immediate shock of viewing a video-recorded murder, to millions dying worldwide from disease, to deaths related to climate change accumulating over a millennium. They participate in the powerful archetypes of death and inequality. ‘Increase’, Hexagram 42 in the I Ching, archetypically addresses inequalities at all levels – racial, economic, political and the profound imbalance between humans and the environment. Floyd’s death highlights the consequences of systemic racism and income inequalities. The pandemic as ‘nature’s revenge’ hits minority populations harder due to underlying health conditions resulting from poverty and greater exposure to the virus in the workplace. President Trump as Trickster showed Americans their shadow and his response to the pandemic amplified its severity. The pandemic has shocked our social, political and economic systems and paused our species rush into environmental disasters at many levels. The disruptions present opportunities for reflection, experimentation and developing new systems as old forms are challenged. The ecological dimensions of Jung’s concepts emphasize interconnectedness at all levels and the paradigm shift he called a ‘new age’ provides a framework for altering the course of the Anthropocene Era.     

Disruptive pandemic effects on telecommuters: A longitudinal study of work–family balance and well-being during COVID-19

We examined the disruptive influence of COVID-19 pandemic rates in the community on telecommuters' satisfaction with balancing their work and family roles and consequently their well-being. Utilizing event system theory and adaptation theory, we proposed that the rate of increase in proportion of confirmed COVID-19 cases in telecommuters' residential communities would predict a lower rate of increase in their satisfaction with work–family balance over time, thereby indirectly influencing two key aspects of well-being—emotional exhaustion and life satisfaction. Results from latent growth curve modeling using objective community data, as well as survey responses from a three-wave (N = 349) panel study of telecommuters in the United States, indicated that rate of increase in the proportion of confirmed COVID-19 cases in communities was negatively associated with the rate of increase in satisfaction with work–family balance, which translated into decreasing levels of well-being over time. We discuss the theoretical and practical implications of these findings.     

Humor Styles,Perceived Threat,Funniness of COVID-19 Memes,and Affective Mood in the Early Stages of COVID-19 Lockdown

Existing psychological research has long considered humor as a useful strategy for individuals in coping with adverse circumstances and life stressors. However, empirical studies are called for to better understand the role of humor in facing the COVID-19 pandemic. In a community sample of 527 Spanish adults, we investigated the associations between humor styles, perceived threat from COVID-19, funniness of COVID-19 memes, and individuals’ affective mood. Data were collected during the third week of lockdown in Spain (from 26 to 31 March 2020). Our results suggest that intrapsychic humor styles were associated with better coping with the COVID-19 pandemic. Structural equation modelling showed that self-enhancing and aggressive humor styles were related to perceiving COVID-19 as less psychologically threatening, which, in turn, was associated with a greater perceived funniness of COVID-19 memes, thus predicting higher levels of happiness. Interestingly, the opposite pattern of connections was found for self-defeating humor. These findings suggest that humor styles aimed at boosting one’s own self, irrespective of their potentially lighter or darker nature, may contribute to alleviating adverse psychological consequences arising from the COVID-19 pandemic.

     

Pandemic precarity: A multi-level study of neoliberal precarity and COVID-Related outcomes in the United States

Neoliberalism is the political-economic system that has characterized the United States for the past half century. Structurally, neoliberalism has involved privatization, deregulation, and government divestment from public health systems. Cultural psychologists have begun to outline the ways that neoliberalism is reflected in attitudes, ways of being, and ideologies, such as in the form of heightened individualism, justification of inequality, depoliticization, and precarity. We argue that neoliberal structures and psychologies may contribute to deleterious outcomes in the context of the COVID-19 pandemic. We demonstrate that neoliberalism at the US state level (n = 51) is associated with higher COVID mortality and case fatality rates, as well as lower vaccination rates (Study 1). We also demonstrate that individual-level (n = 8280) neoliberal ideology predicts less adaptive beliefs and attitudes such as the belief that the federal response to the pandemic was too fast and belief in COVID-related misinformation (Study 2). We demonstrate using multilevel modeling that state-level neoliberalism predicts individual-level COVID-related attitudes, which is explained in part by heightened neoliberal ideology in more neoliberal states (Study 2). This study contributes to an understanding of the structural and cultural psychological factors that have contributed to the severity of the COVID-19 pandemic in the US.     

Essential anxiety: COVID-19 in analytic practice

This paper explores the impact of the COVID-19 pandemic on my relationship with analysands and my inner world. I reflect on the role of the archetypal Self during times of existential anxiety that may lead to an experience of ‘essential anxiety’. This term refers to a meeting by a fearful ego with an inward recognition of the Self, when faced with threat. The efforts to curb the spread of the pandemic changed our ways of life, while the virus itself threatened our existence in debilitating or outright destructive ways. But what also came into view, in sessions of analysis and supervision, was the creative instinct, and a celebration of life. The soul-to-soul relationship, and the connection with images of the archetypal Self, made the experience of existential anxiety at times an essential experience that facilitated psychological growth. I discuss some advantages of on-line Jungian analysis where, despite distance and partial view, the body still serves as container to hold important psychological material, conferring a sense of wholeness for analyst and analysand. The COVID-19 crisis is terrible and terrifying but it also provides an opportunity for self-regulation and individuation.     

Goal disruption during COVID-19: Reimagining goals during a global pandemic

The COVID-19 pandemic has been a major source of professional and personal disruption and has had both direct and downstream consequences on almost every aspect of peoples' lives, including their personal goal pursuits. In the face of unexpected hardships and obstacles, people have had to find new paths to goal achievement. In the present work, we examined whether difficulty adjusting goal pursuit during the global disruption of the COVID-19 pandemic is related to negative affective, cognitive, and behavioral goal-related outcomes. Across two studies, we found that people who had more difficulty adjusting their goal pursuit during the pandemic experienced more negative feelings toward their goals, were less satisfied with the status of their goals, and were less likely to actually achieve their goals. Moreover, individual differences in planning tendencies, need for predictability, general adaptability, and perceived pandemic disruption were related to more difficulty adjusting goal pursuit. This work demonstrates the importance of flexibility in the face of setbacks and obstacles, especially during times of disruption and uncertainty.     

Infidelity in the Time of COVID-19

Infidelity occurs in approximately 25% of marriages and is associated with various negative consequences for individuals (e.g., depression, anxiety, and post-traumatic stress), the couple relationship (e.g., financial loss, increased conflict, and aggression), and the couple's children (e.g., internalizing and externalizing behaviors). Infidelity is also one of the most frequently cited reasons for divorce. The increased stress brought on by the pandemic may be putting couples at an increased risk for experiencing infidelity, and data collected during the pandemic have shown that people across the United States are engaging in behaviors that are associated with a high likelihood of experiencing infidelity. The negative consequences of infidelity are also likely to be exacerbated for couples during the pandemic due to the intersection with the social, emotional, and financial consequences of COVID-19. Furthermore, couples are likely to experience disruptions and delays to the affair recovery process during the pandemic, which can negatively impact their ability to heal. Therefore, recommendations for navigating affair recovery during the pandemic, including adaptations for therapy, are also discussed.     

A life without a plan? Freelance musicians in pandemic limbo

The Covid-19 pandemic has exacerbated the already precarious conditions of freelance workers. The aim of this study is to understand what it means for freelance musicians to be in pandemic limbo. Thirteen Swedish professional freelance musicians in the classical genre were interviewed about their experiences in the midst of the pandemic. A theoretical frame of reference is offered with concepts from Bourdieu, sociology of emotions and emotional geographies. This enables an understanding of what it means as a freelancer to be dislocated and disrupted in relation to places and spaces of work and investments in time and emotions. The conclusions are about the ambivalent emotions and processes of emotional management that are caused by the pandemic. For freelance musicians, depending on their access to the live-settings of gigs, auditions and social venues, it is like being thrown back in time and place (back to where careers were slowly built). However, while at a distance from the normal run of careers, constructive processes of critical reflection and re-orientation have been initiated.     

COVID-19 attitudes,cognitions, and behaviors in association with personal ideology and social media exposure: Findings from emerging adults in the Southern United States

In the U.S., the COVID-19 pandemic has been highly politicized and has been the subject of large-scale media misinformation. Personal ideologies—including religiosity and political leanings (i.e., conservative, liberal)—have heavily guided responses to the pandemic, particularly in the Southern United States. However, microenvironments like Southern U.S. universities provide a unique perspective into the juxtaposition of larger societal conservatism and the liberalism associated with higher education. In the current study, we examined Southern university students' political beliefs, religiosity, and social media exposure in association with their COVID-19 attitudes, cognitions, and behaviors. Participants' political beliefs were associated with their COVID-19 concern, myth acceptance, vaccination status, and likelihood to receive a future vaccination. Religiosity and social media exposure were more nuanced. Future research into personal ideologies as emerging adults develop their independent identities away from their parents, and how this process can impact health behaviors, is needed.     

Mindfulness May Buffer Psychological Distress in Adolescents during the COVID-19 Pandemic: The Differential Role of Mindfulness Facets

The COVID-19 pandemic strongly impacts adolescents’ mental health, a population particularly vulnerable to mental disorders, highlighting the need to identify protective factors against COVID-19 related psychological distress to inform policies and intervention strategies. Previous research suggests that mindfulness may be a promising factor that can lower the risk of detrimental psychological consequences related to the COVID-19 pandemic. However, it is currently unknown which aspects of mindfulness contribute most to its protective effects. Moreover, previous studies mainly focused on adult samples. The present study aimed to address this gap by investigating the impact of specific mindfulness facets on adolescents’ COVID-19 related psychological functioning. 246 Dutch-speaking adolescents were recruited via social media to complete a cross-sectional online survey between June 29 and October 11, 2020. Participants were 16–18 years of age, most of them women (71%), and the majority followed the highest level of Belgian secondary education. Logistic regression analyses were performed to test the differential effects of each mindfulness facet on psychological functioning. Our results identified decentering as the facet of mindfulness that was uniquely associated with decreased worry and stress, improved mental health and quality of life, as well as with an increase in social connectedness with others following the outbreak of the COVID-19 pandemic. Unexpectedly, decentering was negatively associated with adolescents’ helping behaviour during compared to before the pandemic. Implications for research on and application of mindfulness are discussed. Taken together, these findings suggest that the facet of decentering, among all facets of mindfulness, may represent the main protective factor against psychological distress during the COVID-19 pandemic.     

“My Entire World Stopped”: College Students’ Psychosocial and Academic Frustrations during the COVID-19 Pandemic

The COVID-19 pandemic disrupted normalcy for college attending young adults which resulted in a loss of the campus environment and classroom setting. This change in setting may interfere with a student’s personal and academic wellbeing. This study used an online survey to evaluate college students’ academic and psychosocial frustrations during the COVID-19 pandemic. Data were collected from March–April 2020 at a land-grant university in the Appalachian region. Data were available from 2643 undergraduate and graduate students. There was a 65.8% and 15.7% increase in the number of students who reported their learning and health as fair, poor, or very poor after the COVID-19 pandemic, respectively. Qualitative responses were coded and 8 themes and 24 subthemes emerged. College students expressed frustrations regarding technology, classwork, research, family, social, emotional, behavioral, and financial aspects of life. These results can be used by higher education administration, faculty, and staff when planning for online courses. Ensuring that student frustrations and barriers to success are recognized and considered may help prevent students departing from higher education during this time.

     

Pandémie de COVID-19 : attachement,anxiété, régulation émotionnelle et stratégies de coping chez les enfants d’âge scolaire

IntroductionAn impact of the COVID-19 pandemic on the emotions and behaviors of children has been found in several studies. However, this impact is not found in all studies. Attachment could be linked to different reactions and levels of anxiety.ObjectiveThe main aim of this study was to analyze the links between children's insecure attachment and variables related to anxiety, emotional and behavioral management of children during the pandemic.MethodStudy participants (n = 83 parents and their child aged 6 to 12) completed anonymously online questionnaires assessing attachment insecurity, state-anxiety, coping strategies and emotional regulation. They also answered socio-demographic questions related to their context of life and experience of the pandemic.ResultsState-anxiety is significantly related to children's emotional dysregulation but not to emotion-oriented coping strategy. Significant links were observed between attachment insecurity on the one hand, and children's state-anxiety, emotion-oriented coping strategy and children's emotional dysregulation on the other hand. Emotional dysregulation mediates the link between disorganized attachment and state anxiety.ConclusionThe links between attachment insecurity and children's state-anxiety on the one hand, and the emotion-oriented coping strategy on the other hand highlight the importance of taking individual and interactional factors into account in children's socio-emotional manifestations during the COVID-19 pandemic.