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 s...

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Publicado en:Counselling & Psychotherapy Research Vol. 23; no. 1; pp. 134 - 152
Autores principales: Crabtree, Sarah A., Captari, Laura E., Hall, Eugene L., Sandage, Steven J., Jankowski, Peter J.
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell Mar2023
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar2023
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1002/capr.12503
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        atl: Mental health symptoms, well‐being and experiences of the COVID‐19 pandemic: A mixed‐methods practice‐based study.
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          Crabtree, Sarah A.
          Captari, Laura E.
          Hall, Eugene L.
          Sandage, Steven J.
          Jankowski, Peter J.
        affil: The Albert & Jessie Danielsen Institute, Boston University, Boston Massachusetts,, USA
      sug:
        subj:
          COVID-19 Pandemic Psychosocial Factors
          Mental Disorders Symptoms
          Mental Health
          Psychological Well-Being
          Life Experiences
          Human
          Male
          Female
          United States
          Multimethod Studies
          Latent Structure Analysis
          Qualitative Studies
          Thematic Analysis
          Descriptive Statistics
          Funding Source
          Male
          Female
      ab: 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.
      pubtype: Academic Journal
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      ougenre: Article
    language: English
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