A lived experience perspective on responses to trauma

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Dynamic effects of psychiatric vulnerability, loneliness and isolation on distress during the first year of the COVID-19 pandemic

The COVID-19 pandemic’s impact on mental health is challenging to quantify because pre-existing risk, disease burden and public policy varied across individuals, time and regions. Longitudinal, within-person analyses can determine whether pandemic-related changes in social isolation impacted mental health. We analyzed time-varying associations between psychiatric vulnerability, loneliness, psychological distress and social distancing in a US-based study during the first year of the pandemic. We surveyed 3,655 participants about psychological health and COVID-19-related circumstances every 2 weeks for 6 months. We combined self-reports with regional social distancing estimates and a classifier that predicted probability of psychiatric diagnosis at enrollment. Loneliness and psychiatric vulnerability both impacted psychological distress. Loneliness and distress were also linked to social isolation and stress associated with distancing, and psychiatric vulnerability shaped how regional distancing affected loneliness across time. Public health policies should address loneliness when encouraging social distancing, particularly in those at risk for psychiatric conditions.

Emotions and individual differences shape human foraging under threat

A common behavior in natural environments is foraging for rewards. However, this is often in the presence of predators. Therefore, one of the most fundamental decisions for humans, as for other animals, is how to apportion time between reward-motivated pursuit behavior and threat-motivated checking behavior. To understand what affects how people strike this balance, we developed an ecologically inspired task and looked at both within-participant dynamics (moods) and between-participant individual differences (questionnaires about real-life behaviors) in two large internet samples (n = 374 and n = 702) in a cross-sectional design. For the within-participant dynamics, we found that people regulate task-evoked stress homeostatically by changing behavior (increasing foraging and hiding). Individual differences, even in superficially related traits (apathy–anhedonia and anxiety–compulsive checking) reliably mapped onto unique behaviors. Worse task performance, due to maladaptive checking, was linked to gender (women checked excessively) and specific anxiety-related traits: somatic anxiety (reduced self-reported checking due to worry) and compulsivity (self-reported disorganized checking). While anhedonia decreased self-reported task engagement, apathy, strikingly, improved overall task performance by reducing excessive checking. In summary, we provide a multifaceted paradigm for assessment of checking for threat in a naturalistic task that is sensitive to both moods as they change throughout the task and clinical dimensions. Thus, it could serve as an objective measurement tool for future clinical studies interested in threat, vigilance or behavior–emotion interactions in contexts requiring both reward seeking and threat avoidance.

Water and wastewater infrastructure inequity in unincorporated communities

Uneven access to water and wastewater infrastructure is shaped by local governance. A substantial number of U.S. households lack adequate access and the U.S. is one of the few countries with large populations living outside of city bounds, in unincorporated areas. Few studies address how infrastructure services and local governance are intertwined at a regional scale. We examine the connection between incorporation status and access to centralized infrastructure, using negative binomial regression. A novel dataset informs this analysis, comprised of 31,383 Census block groups located in nine states representing over 25% of the national population. We find evidence that inequities in access are associated with unincorporated status and poverty rates. Sewer coverage rates are significantly lower for unincorporated communities in close proximity to municipal boundaries. Infrastructure equity could be improved by targeting high-poverty unincorporated communities, addressing challenges with noncontiguous service areas, and strengthening regional water planning and participatory governance.

Does earning money empower women? Evidence from India

This study investigates the relationship between women’s earnings and empowerment in India, focusing on married women aged 15-49. Utilizing data from the Indian DHS (2019–21), the research employs Bayesian statistical analyses to explore how earning money influences women’s empowerment in areas like financial and bodily autonomy, marital rights, attitudes towards intimate partner violence, and peer recognition. The study reveals that while earning money enhances women’s financial and bodily autonomy, decision-making capacity, and societal recognition, it simultaneously restricts their marital rights, degrades intimate partner relations, and increases the risk of domestic violence. The findings contribute to the discourse on gender equality, offering empirical insights into the complexities of women’s empowerment in India. This research has practical implications for policymakers, NGOs, and stakeholders working towards women’s empowerment, providing a deeper understanding of the varied impact of women’s economic contributions in India’s socio-cultural context.

Mobilizing power quality and reliability measurements for electricity equity and justice in Africa

In sub-Saharan Africa, urban electricity inequities manifesting as poor power quality and reliability (PQR) are prevalent. Yet, granular PQR data and frameworks for assessing PQR inequities and guiding equitable electricity interventions remain sparse. To address this gap, we present a conceptual framework that leverages energy justice, capability and multidimensional poverty theories alongside concepts relating to power systems to quantify PQR inequities in sub-Saharan Africa. To demonstrate our framework and using 1 year’s worth of remotely sensed PQR data from Accra, Ghana, we assessed the distributive scale of PQR inequities, explored how multidimensional poverty exacerbates these inequities and examined the impact of PQR on households’ domestic capabilities. We found wider patterns of PQR inequities and a link between poor PQR and neighbourhoods with higher multidimensional poverty. We conclude that using remotely sensed data combined with justice and capability frameworks offers a powerful method for revealing PQR inequities and driving sustainable energy transitions.

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