Mental health symptoms,well-being and experiences of the COVID-19 pandemic: A mixed-methods practice-based study

The COVID-19 pandemic necessitated abrupt and substantial changes in daily life, and public health strategies intended to protect physical health can negatively affect mental health and well-being, especially for individuals with pre-existing mental health challenges. For this study, we surveyed a sample of clients (N = 94) in the summer of 2020 from a community mental health clinic in the northeast United States. A mixed-methods, concurrent triangulation design was used to (a) identify client subgroups on indicators of mental health (i.e. anxious and depressive symptoms) and emotional, psychological, and social well-being using latent profile analysis (LPA), and (b) within these subgroups, examine qualitative, thematic patterns in self-described challenges, benefits and learning related to the pandemic. The LPA revealed five distinct subgroups with various levels of symptoms and well-being, including Stagnant (moderate symptoms/moderate well-being), Languishing (high symptoms/low well-being), Flourishing (low symptoms, high well-being), Fortitudinous (high symptoms, moderate well-being) and Mobilized (moderate symptoms, high well-being). These divergent subgroups support the need to conceptualise mental health symptoms apart from well-being and assess for heterogeneous constellations of such constructs among psychotherapy clients. Thematic analysis offered additional insight into pandemic experiences within each subgroup, including attention to psychological, emotional, behavioural/lifestyle, relational, physical and ecological/contextual dimensions of self-experience, as well as the ways clients had adjusted to the pandemic's circumstances. Findings support nuanced conceptualisations of positive mental health and offer insight into coping and adaptation during this public health crisis.     

Behavioral extremity moderates the association between certainty in attitudes about COVID and willingness to engage in mitigation-related behaviors

People generally intend to act more on beliefs and attitudes about which they have greater certainty. However, we introduce a boundary condition to the positive association between certainty and behavioral intentions—behavioral extremity. Uncertainty about a threatening issue like COVID-19 can be disconcerting, and we propose that uncertain people cope in part through increased openness to extreme actions like accepting risky medical treatments and aggression toward those defying mitigation policies. Testing this, we compiled and analyzed all the data on certainty about COVID-19 mitigation policies and willingness to engage in mitigation-related behaviors that our lab collected during the pandemic (6 samples, 20 behaviors, Ns up to 1496). External ratings of the behaviors' extremity moderated certainty-willingness associations: whereas greater certainty was associated with increased willingness to engage in moderate behaviors (the typical result), lower certainty was associated with increased willingness to engage in extreme behaviors, especially among those worried about becoming ill.     

Loneliness and the sexual behavior of sexual minority men in the context of the COVID-19 pandemic

In March 2020, in response to the COVID-19 pandemic, Canadian provincial governments instituted a variety of public health measures that included social distancing and isolation, which may have had unintended consequeses. According to the Loneliness and Sexual Risk Model, gay, bisexual, and other men who have sex with men (GBM) often cope with loneliness through risky sexual behaviors. Previous studies have demonstrated that COVID-19 measures such as social distancing and isolation led to increases in loneliness; thus, these measures may also have led to elevated sexual risk-taking among some GBM. Participants were recruited from an ongoing cohort study on GBM health and well-being, and were included in the current analysis if they had completed relevant study questions (n = 1134). GBM who reported lower levels of social support pre-COVID-19, were younger, and lived alone each reported greater loneliness during the first year of COVID-19. Although feelings of loneliness did not predict sexual risk-taking within the first year of COVID-19, loneliness did predict greater sexual risk-taking 6 months later. Additionally, younger GBM and those living alone were more likely to engage in sexual risk-taking at both COVID-19 data collection points. These findings offer some support of the Loneliness and Sexual Risk Model; however, it is possible that the unique circumstances of the COVID-19 pandemic resulted in a temporary suspension of this association, as many GBM took steps to protect themselves and partners in the context of COVID-19.     

An individual difference model for the multidimensional analysis of preference data

A model for the analysis of paired comparison data is presented which combines features of the BTL-model with features of the Unfolding model. The model is metric, mathematically tractable, and has an exact algebraic solution. Since it is multidimensional and allows for individual differences, it is thought to be more realistic for some choice situations than either the Thurstone model or the BTL-model. No claim is made that the present model will be appropriate for all conceivable choice situations. Rather, it is argued that the fact that it is explicitly falsifiable is a point in its favor.This work was supported by a grant of the United States Public Health Service (1 R03 MH19139 01 MSM) and a David Ross (XR) grant of the Purdue Research Foundation (PRF 2132), both of which are gratefully acknowledged. We also owe thanks to Dr. Terry Cooper, whose careful scrutiny of an earlier draft of this paper allowed us to reduce the number of errors from n to n-1.     

Some new results on factor indeterminacy

Some relations between maximum likelihood factor analysis and factor indeterminacy are discussed. Bounds are derived for the minimum average correlation between equivalent sets of correlated factors which depend on the latent roots of the factor intercorrelation matrix . Empirical examples are presented to illustrate some of the theory and indicate the extent to which it can be expected to be relevant in practice.     

Early judgments of semantic and syntactic acceptability by children

Judgments of the acceptability of correct, word order reversed, and semantically anomalous sentences were elicited from 2- and 3-year-old children in a game played with hand puppets. All of the sentences used were simple imperatives and each child was asked to correct those he called wrong. Performance on the judgment task was correlated with each child's mean length of utterance and with his comprehension of reversible active and passive sentences. Only the linguistically most advanced children were able to make a significant number of appropriate judgments and corrections of reversed word order imperatives. Less developed children could appropriately judge and correct semantically anomalous but not incorrect word order imperatives. The importance of semantic as opposed to syntactic factors in children's judgments of the acceptability of sentences is stressed.This research was supported in part by PHS Grant HD-02908 from the National Institute of Child Health and Development. Roger Brown is the principal investigator.     

Air-puff-elicited startle: Habituation over trials and measurement of a hypothetical emotional response

In the first of two experiments, it was demonstrated that an air puff elicited a reliable startle reflex in rats which showed no habituation over 50 trials. In the second study an attempt was made to measure an emotional response by recording startle reactions to the air puff during presentation of a presumed fear-eliciting CS. It was concluded that the air-puff-elicited startle reflex can be employed as an indirect measure of a hypothetical emotional response.     

Minicomputers

The characteristics and costs of minicomputers are discussed along with peripherals, time-sharing, and turnkey systems. The article concludes with a survey of over 100 small computer systems.