Mental Pain, Psychological Distress, and Suicidal Ideation During the COVID-19 Emergency: the Moderating Role of Tolerance for Mental Pain

Landi, Giulia; Grossman-Giron, Ariella; Bitan, Dana Tzur; Mikulincer, Mario; Grandi, Silvana; Tossani, Eliana

doi:10.1007/s11469-021-00646-4

Cited by 10 publications

(10 citation statements)

References 46 publications

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“…The observed Cronbach's alpha was 0.90. Normative data provide the following ranges for the total score: minimal (0-4), mild (5-9), moderate (10)(11)(12)(13)(14), and severe (15)(16)(17)(18)(19)(20)(21) anxiety symptoms [38].…”

Section: General Mental Health Outcomes Anxietymentioning

confidence: 99%

“…All item scores are summed, with higher scores indicating higher depression. Normative data provide the following ranges for the total score: normal (0-4), mild (5-9), moderate (10)(11)(12)(13)(14), moderately severe (15)(16)(17)(18)(19), and severe (20-27) depressive symptoms. The measure has demonstrated sound psychometric properties [42].…”

Section: Depressionmentioning

confidence: 99%

“…Given the widely documented adverse social and mental health impacts of the COVID-19 pandemic and lockdowns on individuals [ 12 , 13 , 14 , 15 ] and families [ 16 ], the negative effects of informal caregiving are likely to be intensified and the mental health inequalities between young adult carers and non-carer peers amplified [ 17 ]. Indeed, one study found that a sample of UK informal adult carers, which included young adults, reported higher levels of depressive symptoms and anxiety than non-carers across five time points over seven months of the pandemic in 2020 [ 18 ].…”

Section: Introductionmentioning

confidence: 99%

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Young Adult Carers during the Pandemic: The Effects of Parental Illness and Other Ill Family Members on COVID-19-Related and General Mental Health Outcomes

Landi

Pakenham

Grandi

et al. 2022

IJERPH

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The mental health impacts of the COVID-19 pandemic on young adult carers have been neglected. This study aimed to identify COVID-19 related risk factors for young adult carers and to investigate their mental health relative to non-carer peers. Of the 1823 Italians aged 18–29 who completed an online survey, 1458 reported no ill family member (non-carers). Young adult carers included 268 with an ill parent, and 97 with an ill non-parent family member. Two mental health outcome categories were measured: COVID-19-related (risky health behaviors, loneliness, home violence, fear of COVID-19) and general (anxiety, depression, wellbeing). Six COVID-19 related risk factors were significantly correlated with poorer mental health in young adult carers. These factors constituted a COVID-19 Context Index. Compared to non-carers, young adult carers reported poorer mental health across all outcomes, as expected. The prediction that young adult carers caring for an ill parent would report poorer mental health than those caring for ill non-parent family members was evident only for the COVID-19-related mental health outcomes. The elevated rates of clinically significant distress and pandemic-related mental health problems among young adult carers highlight this group as a priority for mental health promotion interventions and whole-of-family support across multiple sectors.

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Section: General Mental Health Outcomes Anxietymentioning

confidence: 99%

Section: Depressionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Young Adult Carers during the Pandemic: The Effects of Parental Illness and Other Ill Family Members on COVID-19-Related and General Mental Health Outcomes

Landi

Pakenham

Grandi

et al. 2022

IJERPH

Self Cite

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“…These ndings echoed the results of Chamberlain et al (2009), which also identi ed that participants who scored highly on distress reported higher levels SI. These ndings add weight to the growing pool of evidence indicating that psychological distress is one of the most important indicators of suicidal risk (Montemarano et al, 2018;Tossani, 2013;Landi et al, 2021). In this context, it has been suggested that as distress grows so does individuals' desire to attempt suicide to escape their intolerable distress (Baumeister & Leary, 1995;Van Spijker et al, 2014).…”

Section: Distress and Suicide Ideationmentioning

confidence: 81%

Social Connectedness and Suicidal Ideation: The Roles of Perceived Burdensomeness and Thwarted Belongingness in the Distress to Suicidal Ideation Pathway

Gill

Arena

Rainbow

et al. 2023

Preprint

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Background:Suicide is a serious public health issue. Distress has been identified as a common risk factor, with research also suggesting that a lack of social connectedness is involved. Methods: This quantitative, cross-sectional study investigated the role of perceived burdensomeness and thwarted belongingness in the psychological distress/suicidal ideation pathwayin a community sample of 480 Australian adults. Results: As expected, distress was found to be a strong predictor of suicidal ideation. Perceived burdensomeness and thwarted belongingness both moderated and mediated the relationship between distress and suicidal ideation. Specifically, distress was more strongly linked to suicide ideation when burdensomeness or thwarted belongingness were also high. This moderating effect was stronger for thwarted belongingness than it was for burdensomeness. These variables also mediated the pathway, in that higher distress related to higher burdensomeness and thwarted belonging, which in turn related to higher suicide ideation. This mediating effect was stronger for burdensomeness than for thwarted belonging. Conclusions: Overall, the findings confirm the importance of our social relatedness in suicide. Increasing belongingness and reducing the perception of being a burden on others may be an important intervention strategy for weakening the link between distress and suicide ideation.

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“…Moreover, mental pain has been reported as part of other mental disorders, including obsessive-compulsive disorder, post-traumatic stress disorder and borderline personality disorder, as well as somatic conditions such as migraine 7–12. During the COVID-19 pandemic, mental pain was one of the negative psychological outcomes observed in general population settings 13. Neuroscientific investigations of mental pain tend to show common pathways with physical pain (eg, activation of the anterior cingulate cortex and the insula, mostly when confronted with social rejection, as well as involvement of opioid µ-receptors) 14–17.…”

Section: Introductionmentioning

confidence: 99%

How to measure mental pain: a systematic review assessing measures of mental pain

Charvet¹,

Boutron

Morvan

et al. 2022

Evid Based Mental Health

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QuestionAlthough mental pain is present in many mental disorders and is a predictor of suicide, it is rarely investigated in research or treated in care. A valid tool to measure it is a necessary first step towards better understanding, predicting and ultimately relieving this pain.Study selection and analysisFollowing the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, we performed a systematic review to identify all published standardised measures of mental pain. We used qualitative content analysis to evaluate the similarity of each measure, quantified via Jaccard Index scores ranging from no similarity (0) to full similarity (1). Finally, using the Consensus-based Standards for the selection of health Measurement INstruments (COSMIN) methodology, we evaluated each measure’s development (assessing 35 features), its content validity (31 features) and if the latter was rated at least adequate, its other psychometric properties.FindingsWe identified 10 self-reported scales of mental pain in 2658 screened studies relying on diverse definitions of this construct. The highest average similarity coefficient for any given measure was 0.24, indicative of weak similarity (individual pairwise coefficients from 0 to 0.5). Little to no information was provided regarding the development and the content validity of all 10 scales. Therefore, their development and content validity were rated ‘inadequate’ or ‘doubtful’.Conclusions and clinical implicationsThere is not enough evidence of validity to recommend using one measure over others in research or clinical practice. Heterogeneous use of disparate measures across studies limits comparison and combination of their results in meta-analyses. Development by all stakeholders (especially patients) of a consensual patient-reported measure for mental pain is needed.PROSPERO registration numberCRD42021242679.

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Mental Pain, Psychological Distress, and Suicidal Ideation During the COVID-19 Emergency: the Moderating Role of Tolerance for Mental Pain

Cited by 10 publications

References 46 publications

Young Adult Carers during the Pandemic: The Effects of Parental Illness and Other Ill Family Members on COVID-19-Related and General Mental Health Outcomes

Young Adult Carers during the Pandemic: The Effects of Parental Illness and Other Ill Family Members on COVID-19-Related and General Mental Health Outcomes

Social Connectedness and Suicidal Ideation: The Roles of Perceived Burdensomeness and Thwarted Belongingness in the Distress to Suicidal Ideation Pathway

How to measure mental pain: a systematic review assessing measures of mental pain

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