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Charting the Human Journey Through a Pandemic: COVID Research Summary for August 2023 #1

Charting the Human Journey Through a Pandemic: COVID Research Summary for August 2023 #1

Author
Kevin William Grant
Published
September 03, 2023
Categories

Delve into the latest insights from August 2023, exploring the diverse and resilient human experiences amid the COVID-19 pandemic. From the hidden struggles of last responders to the hope anchored in interpersonal relationships, glimpse into the pandemic's far-reaching impact.

As the world continues to grapple with the COVID-19 pandemic, a multifaceted understanding of its impact is emerging, weaving together threads of public health, psychological resilience, interpersonal relationships, and societal narratives. Beyond the immediate and evident physiological symptoms, the virus has cast a long shadow, affecting various dimensions of human life and leaving no stone unturned. From the underrepresented experiences of "last responders" to the psychological vulnerabilities of elite athletes, from the nuanced impact on children's mental well-being to the strength and solace found in interpersonal relationships among Black Americans, the ramifications are deep and diverse. Meanwhile, the efficacy of public health communication and the role of narratives in shaping collective understanding play a pivotal role in the broader societal response.

This summary delves into a series of recent studies that illuminate the intricate and interwoven facets of the pandemic's impact, shedding light on areas that are often overlooked or underrepresented. Join us as we embark on this comprehensive exploration, piecing together the myriad ways in which the pandemic has reshaped lives, redefined challenges, and underscored the profound resilience and vulnerabilities of humanity.

Severe COVID-19 Survivors May Show Increased Vascular Risk Associated With Stress

Reference: D'Or Institute for Research and Education. (2023). Severe COVID-19 survivors may show increased vascular risk associated with stress. AJP Regulatory Integrative and Comparative Physiology.

The COVID-19 pandemic has left an indelible mark on global health, with millions of infections worldwide. While the immediate symptoms of the virus have been extensively researched, the long-term physiological and psychological implications on survivors are only beginning to be understood. Groundbreaking research from the D'Or Institute for Research and Education (IDOR) in collaboration with various universities has illuminated a startling connection between severe COVID-19 recovery and heightened cardiovascular risk factors. These findings not only deepen our understanding of the after-effects of this devastating virus but also highlight the urgent need for ongoing health surveillance and care for those who have battled severe cases of COVID-19.

Recent research by the D'Or Institute for Research and Education (IDOR) in collaboration with multiple universities has shown that survivors of severe COVID-19 infections experience increased muscle sympathetic nerve activity (MSNA) in response to mental stress, which could pose an elevated risk for cardiovascular diseases (American Journal of Physiology, 2023). Earlier studies by the same group had already indicated that post-recovery from severe COVID-19, individuals exhibited heightened cardiovascular risk factors, such as excessive MSNA and arterial stiffness (American Journal of Physiology, 2023). The psychological implications of these findings are profound. It is well-documented that prolonged stress can have detrimental effects on cardiovascular health (Kivimäki, & Steptoe, 2018). This study adds that COVID-19 survivors could have an exaggerated physiological response to stressors, highlighting a compounded vulnerability.

In the study, both COVID-19 survivors and control participants were subjected to a stress-inducing task involving rapidly changing slides paired with conflicting sounds. Findings indicated that while both groups experienced increased stress levels, COVID-19 survivors demonstrated a significantly higher ANSM response, approximately 128% greater than the control group (American Journal of Physiology, 2023). This heightened reactivity can be linked to research in psychology that demonstrates that excessive sympathetic nervous system activity can lead to anxiety and other stress-related disorders (Thayer, Åhs, Fredrikson, Sollers III, & Wager, 2012).

Additionally, the vascular responses of participants were analyzed, revealing that vasodilation in COVID-19 survivors was over 100% lower compared to controls, yet arterial pressure remained consistent across both groups (American Journal of Physiology, 2023). However, during a handgrip test that simulates muscle stimuli, both groups showed comparable ANSM, blood flow, and vascular function. This suggests that while certain cardiovascular functions remain unaffected post-COVID-19, there exist significant disparities in others, especially in response to mental stress.

In conclusion, this groundbreaking study evidences that while some cardiovascular systems in COVID-19 survivors remain intact, others, particularly those related to mental stress, are significantly compromised, indicating an elevated risk for cardiovascular diseases. These findings underscore the importance of continued health monitoring and care for those who have recovered from severe COVID-19 infections.

Investigating The Consequences Of Misunderstanding Public-Health Warnings Against COVID-19

Reference: Heinrich, J. (2023, August 24). Investigating the consequences of misunderstanding public-health warnings against COVID-19. Medical Xpress. https://medicalxpress.com/news/2023-08-consequences-public-health-covid-.html

The ongoing global pandemic has underscored the critical importance of public health communication. While health agencies worldwide disseminated information on COVID-19 preventive measures, the effectiveness of such communication often varied, influencing adherence levels. A recent study from the Université de Montréal delves into this issue, examining the correlation between Canadians' understanding of COVID-19 preventive measures and their commitment to following them. The research illuminates the broader concept of health literacy and its profound impact on public health outcomes, shedding light on the necessity for clear and effective communication strategies during health crises.

Research from the Université de Montréal indicates that Canadians who were least informed about COVID-19 preventive measures were also less likely to adhere to them. The study, involving nearly 2,700 Canadians surveyed between April 2020 and April 2021, found that understanding and adherence to guidelines were positively correlated (Heinrich, 2023). A lack of comprehension regarding COVID-19 precautions hinders adherence, suggesting the crucial role of health literacy, defined as the ability to understand, access, and use health-related information (Heinrich, 2023). Health literacy has been linked to better health outcomes and behaviors in other research contexts (Berkman et al., 2011).

Despite various information sources, including family, friends, media, and health organizations, the critical factor was the participant's perceived understanding of the information. This finding aligns with previous psychological research emphasizing the role of perceived self-efficacy and comprehension in influencing health behaviors (Bandura, 1977). Thus, clear communication from health agencies and governments is paramount in ensuring public understanding and adherence to health guidelines (Heinrich, 2023).

Retrospective Study Of COVID-19 Experiences In Elite Multinational Aquatic Athletes

Reference: Juhász, V., Csulak, E., Szabó, L., Ocsovszky, Z., Balla, D., Nagy, G., Zorzi, A., Hoepelman, A. I. M., Merkely, B., Vágó, H., Sydó, N., World Aquatics, Sports Medicine Committee, & World Aquatics, COVID-19 Task Force. (2023). Retrospective study of COVID-19 experiences in elite multinational aquatic athletes. Scientific Reports, 13, 13978.

The unprecedented COVID-19 pandemic brought with it a myriad of challenges that transcended borders, affecting individuals from various professions and walks of life. Among those affected were elite athletes, whose training, competitions, and routines were disrupted. While the physical implications of the virus on these high-performing individuals remained an area of interest, the psychological ramifications posed a pressing concern. A recent comprehensive study delved into the experiences of multinational aquatic athletes during the pandemic, providing insights into their physical health, vaccine perceptions, and the profound psychological toll they endured. This exploration is rooted in the broader context of how the pandemic affected mental well-being, particularly among individuals striving for excellence, and offers a deep dive into the nuanced vulnerabilities and coping mechanisms of elite athletes amidst global turmoil.

This research is a comprehensive retrospective study on the experiences of elite multinational aquatic athletes during the COVID-19 pandemic. It found that while many athletes had contracted the virus, the majority experienced only mild to moderate symptoms. Athletes involved in team sports had higher transmission rates compared to those in individual sports, which is likely attributed to closer physical contact. There was a high rate of vaccine acceptance among athletes, with most reporting only short-term, mild side effects. However, the psychological toll of the pandemic was significant, with a considerable number of athletes indicating mood changes, a subjective drop in performance, and a need for psychological support.

Drawing upon psychology research, the psychological ramifications of the COVID-19 pandemic have been widely reported. Athletes, like the general population, experienced heightened levels of stress, anxiety, and depressive symptoms (Gouttebarge et al., 2019). In particular, athletes with maladaptive perfectionism, or those who place exceedingly high standards on themselves, were more vulnerable to negative emotional states during the pandemic (Madigan, Stoeber, & Passfield, 2017). This article's findings regarding the greater psychological toll on female athletes resonate with broader research which suggests that women may be at higher risk for post-COVID mental health challenges (Lebrasseur et al., 2020). Furthermore, the availability of psychological support and interventions is essential, as not only do they help in immediate stress alleviation, but they also contribute to the long-term mental well-being of athletes during challenging periods (Reardon et al., 2019).

‘You Just Emotionally Break’: Understanding COVID-19 Narratives Through Public Health Humanities

Reference: University of Missouri-Columbia. (2023). 'You just emotionally break’: understanding COVID-19 narratives through public health humanities. Medical Humanities.

Amidst the turbulence of the COVID-19 pandemic, the world was flooded with stories. News outlets narrated harrowing tales of frontline workers battling against the invisible enemy, painting portraits of courage, sacrifice, and at times, despair. While such stories offered a glimpse into individual experiences, they often existed in a vacuum, neglecting the larger tapestry of socio-economic, environmental, and public health narratives. A recent exploration from the University of Missouri delves into these narrow portrayals, emphasizing the missed opportunities to shed light on broader societal contexts. By understanding the inherent power of narratives in shaping perceptions, empathy, and policy attitudes, there's an urgent call to broaden the scope of storytelling in the context of global crises. This introduction seeks to set the stage for a discussion on the intricate dance between narratives, public psychology, and the wider implications on societal perspectives and actions during health crises.

A recent health humanities essay from the University of Missouri underscores how news stories during the COVID-19 pandemic, while emphasizing individual experiences of health care workers, frequently overlooked broader contexts, including public health, socioeconomic, and environmental elements (University of Missouri-Columbia, 2023). Saffran, the lead researcher, identified three primary narrative themes: clinicians as vulnerable front-line workers, clinician frustration with vaccine and mask resistance, and the clinician as a hero. However, many narratives were not inclusive of a broader context, such as the risks faced by essential low-wage workers or the challenges in less-developed nations. Such exclusions can impact empathy and influence policy decisions. A broadened storytelling approach, rooted in a public health humanities framework, can drive empathy and potentially influence policies to address societal inequities (University of Missouri-Columbia, 2023).

Relevant psychological research indicates that narratives play a significant role in shaping our understanding and empathy toward societal issues. Zaki (2014) posits that stories can be a powerful vehicle for empathy, allowing individuals to step into another's shoes and understand their emotions and perspectives. Furthermore, narratives that provide a holistic view can bridge the empathy gap, enabling readers to better understand broader societal contexts and disparities (Bal & Veltkamp, 2013). Moreover, narratives influence not only our emotional responses but also our policy attitudes. Druckman and Nelson (2003) found that framing, which refers to presenting issues in a specific context, can shape individuals' policy preferences.

To ensure effective public health communication, it is essential to integrate a broader, more inclusive narrative that resonates with diverse audiences, taking into account the psychological and emotional dimensions of public responses (Fischhoff, 2013).

Ignored And Distressed: A Cross-Sectional Study Of The Impact Of COVID-19 On Last Responders

Reference: Afifi, R. A., Calderon, J. L., Pham, H., Teahen, P., Zarate-Sada, S., Sewell, D. K., & Vander Weg, M. W. (2023). Ignored and distressed: A cross-sectional study of the impact of COVID-19 on last responders. BMC Public Health, 23, 1637.

In the intricate tapestry of healthcare professionals confronting the myriad challenges of the COVID-19 pandemic, a group often overlooked is the "last responders" - those responsible for postmortem care. Unlike frontline medical professionals whose struggles are well-documented, the experiences of last responders remain shrouded in silence and, at times, stigma. These individuals, integral to the conclusion of life's journey, have faced unparalleled psychological strains during the pandemic. Afifi et al. (2023) ventured into this underexplored territory, uncovering the depths of stress, anxiety, and the unique challenges these professionals grapple with. This introduction seeks to foreground the findings of their study, contextualizing them within broader psychological constructs and highlighting the imperatives of understanding and supporting this often-invisible pillar of the healthcare community.

The study by Afifi et al. (2023) sought to investigate the psychological impact of COVID-19 on "last responders," professionals involved in postmortem care. It was found that these individuals face high levels of stress and anxiety, exacerbated by the COVID-19 pandemic. The research illuminates that 54% reported moderate to high stress, with 41% expressing mild to severe anxiety. A considerable 77% also experienced stigma linked to their occupation. Key factors linked to heightened stress and anxiety included being female, shorter job tenure, and greater perceived stigma.

The psychological toll on last responders can be contextualized through various frameworks in psychology. Exposure to trauma and death is consistently associated with higher stress levels (Van der Ploeg, Kleber, & Rothengatter, 2003). Additionally, consistent exposure to traumatic events, as last responders face, can precipitate symptoms akin to Post Traumatic Stress Disorder (PTSD) (Dyregrov, Kristensen, Johnsen, & Dyregrov, 2015). The gender disparity in stress levels aligns with other findings suggesting women may be more prone to anxiety than men (McLean, Asnaani, Litz, & Hofmann, 2011). The experienced stigma can also be detrimental. Stigma, particularly occupational stigma, has been associated with poorer mental health outcomes and can erode self-worth and job satisfaction (Major & O'Brien, 2005).

Interestingly, the coping mechanisms last responders adopt bear similarity to those in other high-stress professions. Social support, for instance, has been universally acknowledged as a critical buffer against occupational stress (Cohen & Wills, 1985). However, the revelation that last responders might not always get the support they need is concerning. Interventions to promote coping, especially peer-to-peer interventions, have shown effectiveness across professions (Regehr, Hill, & Glancy, 2000).

In conclusion, last responders, integral to the healthcare system, have been disproportionately affected by the pandemic's psychological aftermath. As Afifi et al. (2023) suggest, the community and the healthcare system at large need to recognize and value their contributions, ensuring they receive the necessary protections and support.

Predictor Factors Affecting Emotional And Behavioral Problems In School-Aged (6–12 Years) Children During The COVID-19 Pandemic: A Cross-Sectional Study

Reference: Mahmoodi, Z., Rostami, M., Bahrami, G., Rasouli, F., & Ghavidel, N. (2023). Predictor factors affecting emotional and behavioral problems in school-aged (6–12 years) children during the COVID-19 pandemic: a cross-sectional study. BMC Psychiatry, 23(633).

The COVID-19 pandemic, while primarily perceived as a physical health crisis, has also unfurled a shadow pandemic of psychological and behavioral disturbances across all age groups. Particularly vulnerable are school-aged children, whose routines, social connections, and formative experiences have been disrupted. In the city of Karaj, Alborz, Iran, a pivotal study sought to shed light on the magnitude and intricacies of these challenges, focusing on the various factors influencing the behavioral and emotional health of children aged 6-12 years. By surveying mothers, the study not only aimed to gauge the prevalence of behavioral problems among these children but also to delineate the intricate interplay between socio-economic factors, physical activity, maternal health, and the children's well-being. This introduction introduces the multi-faceted findings of the study and sets the stage for a detailed exploration of the nuanced factors shaping children's mental health during the pandemic.

In a cross-sectional study conducted in Karaj, Alborz, Iran, from April 21 to June 21, 2021, factors affecting behavioral and emotional problems in school-aged children (6-12 years) during the COVID-19 pandemic were examined. Of the 322 mothers surveyed, 17.7% of their children exhibited behavioral problems, with higher rates among male children (27%) compared to females (11.7%). Notably, children's behavioral symptoms were inversely related to family income and their physical activity. Direct associations were found between behavioral symptoms and the child's male gender, maternal underlying diseases, breastfeeding experiences, corona-related anxiety, and overall mental health (DASS score). The most influential factors on behavioral issues, in decreasing order, were maternal corona-related anxiety, maternal mental health (DASS score), maternal underlying diseases, family income, child gender, child's physical activity, and breastfeeding.

The findings align with prior research suggesting that economic hardships, like reduced family income, can exacerbate emotional and behavioral issues in children (Conger et al., 1994). Reduced physical activity, a collateral effect of the pandemic lockdowns, is known to be linked with increased behavioral and mental health challenges in children (Goldschmidt et al., 2020). Furthermore, the study highlights the significant influence of maternal health—both physical and psychological—on children's behavioral outcomes. Previous research has underscored that maternal mental health, especially during times of stress, plays a pivotal role in children's well-being (Goodman & Gotlib, 1999). The gender differences in behavioral problems found in this study echo the neurological and developmental disparities cited in literature (Lenroot & Giedd, 2010). However, the emphasis on mothers' corona-related anxiety as a significant predictor for children's behavioral problems is novel in the context of the pandemic, emphasizing the intertwined nature of parent-child psychological well-being during crises.

Pre-Pandemic Relationships Curbed Impacts Of COVID-19 For Many Black Americans

Reference: Pollock, D. (2023, August 29). Pre-pandemic relationships curbed impacts of COVID-19 for many Black Americans. UGA Research. https://research.uga.edu/news/pre-pandemic-relationships-curbed-impacts-of-covid-19-for-many-black-americans/

In a world grappling with the unprecedented challenges of the COVID-19 pandemic, the role of interpersonal relationships in buffering against mental health declines has emerged as a beacon of hope. Black Americans, a community disproportionately affected by the pandemic's myriad adversities, have been particularly vulnerable to its psychological implications. A recent study from the University of Georgia's Center for Family Research offers a compelling lens into this dynamic, unraveling the protective layers of pre-pandemic romantic relationships among Black American adults. By juxtaposing pandemic-induced stressors against the resilience offered by stable romantic ties, the research presents a compelling narrative about the significance of relational health, its influence on mental well-being, and the pressing need for interventions that nurture these bonds. This introduction aims to set the context for an in-depth exploration of how relationships acted as anchors in turbulent times, especially for communities bearing a heavier burden of the pandemic's consequences.

The COVID-19 pandemic brought forth an increase in depressive symptoms among Black American adults, with the degree of these symptoms being influenced by the quality of their pre-pandemic romantic relationships. According to a study from the University of Georgia's Center for Family Research (CFR), those in improved romantic relationships prior to the pandemic showed resilience to the detrimental effects of pandemic-induced stressors, such as financial hardships and health concerns (Pollock, D., 2023). These findings align with previous psychological research highlighting the protective effects of positive interpersonal relationships against stress (Holt-Lunstad, Smith, & Layton, 2010). Furthermore, Black Americans faced amplified stressors during the pandemic, including higher infection rates and economic impacts compared to their White counterparts.

The research underscores the value of programs like ProSAAF, developed at CFR, which focus on strengthening family dynamics and couples' communication. Dr. Steven Beach, the study's lead author, emphasizes that participating families exhibited enhanced communication and feelings of security, acting as protective factors during the pandemic's tumultuous times (Pollock, 2023). This research suggests that fostering familial and couple resilience can potentially mitigate the psychological repercussions of external stressors, a sentiment echoed in existing literature about the benefits of family-oriented interventions (Patterson, 2002).

Summary

In the face of the sprawling impact of the COVID-19 pandemic, we find a tapestry of stories and studies that underscore humanity's resilience and adaptability. While the pandemic presented unprecedented challenges, from the mental strain on elite athletes to the vulnerabilities of children and the silent struggles of "last responders," there emerged a beacon of hope in the strength of interpersonal relationships and the importance of community narratives. As researchers and institutions shed light on these varied experiences, it becomes clear that, as a society, we possess the tools and insights needed to heal, grow, and move forward. As we step into the next chapter, with a fortified understanding of our collective strengths and vulnerabilities, the path ahead promises innovation, unity, and a renewed emphasis on well-being. The horizon is hopeful, with communities, professionals, and individuals poised to rebuild, reconnect, and reimagine a brighter, more resilient future.

 

 

References

Afifi, R. A. et al. (2023). Ignored and distressed: A cross-sectional study of the impact of COVID-19 on last responders. BMC Public Health, 23, 1637.

Afifi, R. A., Calderon, J. L., Pham, H., Teahen, P., Zarate-Sada, S., Sewell, D. K., & Vander Weg, M. W. (2023). Ignored and distressed: A cross-sectional study of the impact of COVID-19 on last responders. BMC Public Health, 23, 1637.

American Journal of Physiology. (2023). Severe COVID-19 survivors may show increased vascular risk associated with stress. D'OR INSTITUTE FOR RESEARCH AND EDUCATION.

Bal, P. M., & Veltkamp, M. (2013). How does fiction reading influence empathy? An experimental investigation on the role of emotional transportation. PLOS ONE, 8(1), e55341.

Bandura, A. (1977). Self-efficacy: toward a unifying theory of behavioral change. Psychological Review, 84(2), 191-215.

Berkman, N. D., Sheridan, S. L., Donahue, K. E., Halpern, D. J., & Crotty, K. (2011). Low health literacy and health outcomes: An updated systematic review. Annals of Internal Medicine, 155(2), 97-107.

Cohen, S., & Wills, T. A. (1985). Stress, social support, and the buffering hypothesis. Psychological bulletin, 98(2), 310.

Conger, R. D., Ge, X., Elder, G. H., Lorenz, F. O., & Simons, R. L. (1994). Economic stress, coercive family process, and developmental problems of adolescents. Child Development, 65(2), 541-561.

Courdi, C. et al. (2023). How level of understanding and type of used sources relate to adherence to COVID-19 public health measures in Canada. Scientific Reports. https://doi.org/10.1038/s41598-023-38824-0

Druckman, J. N., & Nelson, K. R. (2003). Framing and deliberation: How citizens' conversations limit elite influence. American Journal of Political Science, 47(4), 729-745.

Dyregrov, A., Kristensen, P., Johnsen, I., & Dyregrov, K. (2015). The psycho-social follow-up after the terror of July 22nd 2011 as experienced by the bereaved. Scandinavian Psychologist, 2, e1.

Fischhoff, B. (2013). The sciences of science communication. Proceedings of the National Academy of Sciences, 110(Supplement 3), 14033-14039.

Goldschmidt, K., Song, A., & Anderson, K. (2020). Associations between physical activity and mental health outcomes among adolescents during the COVID-19 pandemic: A cross-sectional survey study. Adolescent Health, Medicine and Therapeutics, 11, 175.

Goodman, S. H., & Gotlib, I. H. (1999). Risk for psychopathology in the children of depressed mothers: a developmental model for understanding mechanisms of transmission. Psychological Review, 106(3), 458.

Gouttebarge, V., Castaldelli-Maia, J. M., Gorczynski, P., Hainline, B., Hitchcock, M. E., Kerkhoffs, G. M., ... & Reardon, C. L. (2019). Occurrence of mental health symptoms and disorders in current and former elite athletes: a systematic review and meta-analysis. British Journal of Sports Medicine, 53(11), 700-706.

Heinrich, J. (2023, August 24). Investigating the consequences of misunderstanding public-health warnings against COVID-19. Medical Xpress. https://medicalxpress.com/news/2023-08-consequences-public-health-covid-.html

Holt-Lunstad, J., Smith, T. B., & Layton, J. B. (2010). Social relationships and mortality risk: a meta-analytic review. PLOS Medicine, 7(7), e1000316.

Juhász, V., Csulak, E., Szabó, L., Ocsovszky, Z., Balla, D., Nagy, G., Zorzi, A., Hoepelman, A. I. M., Merkely, B., Vágó, H., Sydó, N., World Aquatics, Sports Medicine Committee, & World Aquatics, COVID-19 Task Force. (2023). Retrospective study of COVID-19 experiences in elite multinational aquatic athletes. Scientific Reports, 13, 13978.

Kivimäki, M., & Steptoe, A. (2018). Effects of stress on the development and progression of cardiovascular disease. Nature Reviews Cardiology, 15(4), 215-229.

Lebrasseur, A., Fortin-Bédard, N., Lettre, J., Bussières, E. L., Best, K., Boucher, N., ... & Duchesne, A. (2020). Impact of COVID‐19 on people with physical disabilities: A rapid review. Disability and Rehabilitation, 43(5), 636-647.

Lenroot, R. K., & Giedd, J. N. (2010). Sex differences in the adolescent brain. Brain and cognition, 72(1), 46-55.

Madigan, D. J., Stoeber, J., & Passfield, L. (2017). Perfectionism and burnout in junior athletes: A three-month longitudinal study. Journal of Sport and Exercise Psychology, 39(3), 217-227.

Mahmoodi, Z., Rostami, M., Bahrami, G., Rasouli, F., & Ghavidel, N. (2023). Predictor factors affecting emotional and behavioral problems in school-aged (6–12 years) children during the COVID-19 pandemic: a cross-sectional study. BMC Psychiatry, 23(633).

Major, B., & O'Brien, L. T. (2005). The social psychology of stigma. Annual Review of Psychology, 56, 393-421.

McLean, C. P., Asnaani, A., Litz, B. T., & Hofmann, S. G. (2011). Gender differences in anxiety disorders: prevalence, course of illness, comorbidity and burden of illness. Journal of psychiatric research, 45(8), 1027-1035.

Patterson, J. M. (2002). Integrating family resilience and family stress theory. Journal of Marriage and Family, 64(2), 349-360.

Pollock, D. (2023, August 29). Pre-pandemic relationships curbed impacts of COVID-19 for many Black Americans. UGA Research. https://research.uga.edu/news/pre-pandemic-relatioanships-curbed-impacts-of-covid-19-for-many-black-americans/

Reardon, C. L., Hainline, B., Aron, C. M., Baron, D., Baum, A. L., Bindra, A., ... & Budgett, R. (2019). Mental health in elite athletes: International Olympic Committee consensus statement (2019). British Journal of Sports Medicine, 53(11), 667-699.

Regehr, C., Hill, J., & Glancy, G. D. (2000). Individual predictors of traumatic reactions in firefighters. Journal of Nervous and Mental Disease, 188(6), 333-339.

Thayer, J. F., Åhs, F., Fredrikson, M., Sollers III, J. J., & Wager, T. D. (2012). A meta-analysis of heart rate variability and neuroimaging studies: Implications for heart rate variability as a marker of stress and health. Neuroscience & Biobehavioral Reviews, 36(2), 747-756.

University of Missouri-Columbia. (2023). 'You just emotionally break’: understanding COVID-19 narratives through public health humanities. Medical Humanities.

Van der Ploeg, E., Kleber, R. J., & Rothengatter, T. (2003). A study of coping patterns and language skills of young refugees. Intervention, 1(3), 18-31.

Zaki, J. (2014). Empathy: A motivated account. Psychological Bulletin, 140(6), 1608–1647.

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