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      Impacts of COVID-19 and partial lockdown on family functioning, intergenerational communication and associated psychosocial factors among young adults in Singapore

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          Abstract

          Background

          The COVID-19 pandemic has changed our daily lives. Most of the working adults adopted the work-from-home arrangement while students shifted to home-based learning. Being confined together allows families to foster stronger bonds. On the other hand, the on-going pandemic could have negative impacts on family relationships. The COVID-19 outbreak is still on-going worldwide, understanding more about the changes in family functioning and its associated psychological impacts in a pandemic would allow the authorities to provide more targeted support to families.

          Objectives

          This study aimed to examine the factors associated with family functioning among young adults in Singapore during the COVID-19 pandemic. Family functioning refers to the quality of interactions among family members, and consists of cohesion, flexibility and communication.

          Methods

          A cross-sectional online survey was conducted ( N = 390). The Family Adaptability and Cohesion Evaluation Scale Short Form (FACES-IV-SF) and Global Perceptions of Intergenerational Communication Scale (GPIC) were used to examine family functioning and intergeneration communication during the partial lockdown. Center for Epidemiologic Studies Depression Scale (CESD), Social Support Questionnaire–Brief (SSQ-B), Perceived Stress Scale 4 (PSS), UCLA Loneliness Scale, and Brief Resilient Coping Scale (BRCS) examined the psychosocial impact. Descriptive statistics, Pearson’s correlation coefficients, and regression model were employed in the analysis.

          Results

          The FACES-IV-SF score for total circumplex ratio has a mean of 1.57(SD = 0.58), suggesting that participants generally perceived their families as functioning relatively well. The mean scores for CESD, PSS, Loneliness and BRCS were 12.4(6.2), 8.0(2.6), 5.7(1.9) and 12.6(3.1) respectively. The mean scores of the 4 domains of GPIC were 21.5(4.0) for Accommodation, 25.0(6.7) for Non-Accommodation, 17.2(3.3) for Respect-Obligation, and 18.9(4.8) for Avoidant.

          Conclusion

          The results suggested that family functioning is significantly associated with intergenerational communication and satisfaction with social support in a pandemic. Participants with balanced levels of cohesion and flexibility in their families are more likely to be able to cope with the psychological impacts of the pandemic. The findings serve to inform intervention and preventive efforts to improve family functioning and reduce the risk of psychological distress in a pandemic.

          Highlights

          • Family functioning is significantly associated with intergenerational communication

          • Family functioning is significantly associated with satisfaction with social support

          • Balanced levels of family cohesion and flexibility are more likely cope with psychological impacts of the pandemic

          • Interventions are required to improve family functioning in a pandemic

          • Preventive efforts are needed to reduce the psychological distress in a pandemic

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          Most cited references60

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          Generalized anxiety disorder, depressive symptoms and sleep quality during COVID-19 outbreak in China: a web-based cross-sectional survey

          Highlights • The COVID-19 outbreak significantly affects the mental health of Chinese public • During the outbreak, young people had a higher risk of anxiety than older people • Spending too much time thinking about the outbreak is harmful to mental health • Healthcare workers were at high risk for poor sleep
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            A Short Scale for Measuring Loneliness in Large Surveys: Results From Two Population-Based Studies.

            Most studies of social relationships in later life focus on the amount of social contact, not on individuals' perceptions of social isolation. However, loneliness is likely to be an important aspect of aging. A major limiting factor in studying loneliness has been the lack of a measure suitable for large-scale social surveys. This article describes a short loneliness scale developed specifically for use on a telephone survey. The scale has three items and a simplified set of response categories but appears to measure overall loneliness quite well. The authors also document the relationship between loneliness and several commonly used measures of objective social isolation. As expected, they find that objective and subjective isolation are related. However, the relationship is relatively modest, indicating that the quantitative and qualitative aspects of social relationships are distinct. This result suggests the importance of studying both dimensions of social relationships in the aging process.
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              A global measure of perceived stress.

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                Author and article information

                Contributors
                nurtwsw@nus.edu.sg
                nurpsn@nus.edu.sg
                pcmrathi@nus.edu.sg
                pcmkeh@nus.edu.sg
                nurwux@nus.edu.sg
                Journal
                BMC Psychiatry
                BMC Psychiatry
                BMC Psychiatry
                BioMed Central (London )
                1471-244X
                26 November 2021
                26 November 2021
                2021
                : 21
                : 595
                Affiliations
                [1 ]GRID grid.4280.e, ISNI 0000 0001 2180 6431, Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, , National University of Singapore, ; Level 2 MD11, 10 Medical Drive, Singapore, 117597 Singapore
                [2 ]GRID grid.412106.0, ISNI 0000 0004 0621 9599, Department of Psychological Medicine, , National University Hospital, ; Singapore, Singapore
                [3 ]GRID grid.4280.e, ISNI 0000 0001 2180 6431, Department of Psychological Medicine, Yong Loo Lin School of Medicine, , National University of Singapore, ; Singapore, Singapore
                Article
                3599
                10.1186/s12888-021-03599-z
                8617365
                34836516
                d068c8dd-a9d8-4a98-8801-63783746e506
                © The Author(s) 2021

                Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

                History
                : 11 June 2021
                : 8 November 2021
                Categories
                Research
                Custom metadata
                © The Author(s) 2021

                Clinical Psychology & Psychiatry
                covid-19,family functioning,intergenerational communication,psychological well-being,young adults

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