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Article ; Online: The experience of claiming mental health disability benefits: A qualitative analysis of clients' perspectives.

Elran-Barak, Roni

Journal of psychiatric and mental health nursing

2023 Volume 30, Issue 4, Page(s) 699–708

Abstract: WHAT IS KNOWN ON THE SUBJECT?: The decision to apply for disability benefits may be an important breakthrough in the life of people with severe mental illness. The literature regarding the process of applying for mental health disability benefits is ... ...

Abstract	WHAT IS KNOWN ON THE SUBJECT?: The decision to apply for disability benefits may be an important breakthrough in the life of people with severe mental illness. The literature regarding the process of applying for mental health disability benefits is scarce. WHAT THE PAPER ADDS TO EXISTING KNOWLEDGE?: This study is, to the best of our knowledge, the first to fully describe the experience of submitting a claim for mental health disability benefits, as experienced by those diagnosed with severe mental illness. The process of applying for recognition of a mental health disability has three chronological stages-before the claim submission, during the claims process and after recognition. Clients approach the process without any prior knowledge, and therefore they need professional help when submitting their claim. A deterioration in clients' mental health prompts them to apply. A lack of trust in the system affects the application decision/process. The medical committee hearing is described as a complex and multifaceted experience. Clients reported being extensively preoccupied with stigma throughout the process. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: Professional assistance throughout the claims process is a key factor with the potential to change clients' experience of the entire process. It is important to educate mental health nurses about the disability applicating process. Mental health professionals are encouraged to be mindful of the facilitating/hindering mechanisms that are dominant at each stage of the process. There is a need for liaising with relevant agencies that act as advocates for those diagnosed with a mental health illness. Abstract: INTRODUCTION: The decision to apply for disability benefits may be an important breakthrough in the life of those diagnosed with severe mental illness (SMI). Nevertheless, the literature regarding the application process is scarce. Aim: The aim of the study was to explore how people who receive mental health disability benefits retrospectively perceive the process of applying for and receiving these benefits. Methods: Twenty-four in-depth qualitative interviews were conducted with people whose mental health disability was recognized in the past few years. Results: Analysis revealed three themes describing the process's chronological stages: Before submitting the claim (from deterioration to trust), during the claim process (from bureaucracy to understanding), after receiving recognition (from stigma to gratitude). Each stage includes facilitating factors (e.g. encouragement from professionals) and hindering factors (e.g. stigma, lack of knowledge and trust). Discussion: This is the first study to fully describe the experience of applying for mental health disability benefits, as experienced by clients. The decision to apply is perceived as complex and difficult. Although clients are extensively preoccupied with stigma throughout the process, they are able to express gratitude for the opportunities made available to them. Implications: Professional assistance throughout the claim is a key factor with the potential to change clients' experience of the entire process.
MeSH term(s)	Humans ; Mental Health ; Retrospective Studies ; Mental Disorders/therapy ; Mental Disorders/psychology ; Disabled Persons ; Health Personnel ; Qualitative Research
Language	English
Publishing date	2023-01-26
Publishing country	England
Document type	Journal Article
ZDB-ID	1328479-4
ISSN	1365-2850 ; 1351-0126
ISSN (online)	1365-2850
ISSN	1351-0126
DOI	10.1111/jpm.12896
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Article ; Online: Analyses of posts written in online eating disorder and depression/anxiety moderated communities: Emotional and informational communication before and during the COVID-19 outbreak.

Elran-Barak, Roni

Internet interventions

2021 Volume 26, Page(s) 100438

Abstract: Introduction: Moderated online health communities (OHCs) are digital platforms that provide a means for patients with similar medical conditions to communicate with each other under the supervision of healthcare professionals.: Aims: To examine the ... ...

Abstract	Introduction: Moderated online health communities (OHCs) are digital platforms that provide a means for patients with similar medical conditions to communicate with each other under the supervision of healthcare professionals. Aims: To examine the impact of the COVID-19 outbreak on content and type of posts published in two moderated OHCs - eating disorders and depression/anxiety - by comparing categorizations of posts written before vs. after the lockdown, and about vs. not about the pandemic. Methods: Posts were retrieved from Results: Before the pandemic, the eating disorders OHC was characterized as primarily emotional (emotional: 66.7%, informational: 45.4%) and the depression/anxiety OHC as primarily informational (emotional: 49.8%, informational: 65.8%) (χ Conclusion: During the first lockdown, people with eating disorders have increased their use of OHCs as sources of informational (as opposed to emotional) support, but the overall impact of the pandemic on the content of posts written in the examined OHCs was minimal, suggesting that OHCs have not changed their function as a valuable means of providing emotional and informational support for people with mental difficulties.
Language	English
Publishing date	2021-07-27
Publishing country	Netherlands
Document type	Journal Article
ZDB-ID	2764252-5
ISSN	2214-7829 ; 2214-7829
ISSN (online)	2214-7829
ISSN	2214-7829
DOI	10.1016/j.invent.2021.100438
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Article ; Online: The implicit association of high-fat foods with shame and its link with eating disorder symptoms: The moderating role of race/ethnicity.

Elran-Barak, Roni

Eating behaviors

2021 Volume 41, Page(s) 101498

Abstract: Background: An interesting debate in the literature is about the role of race/ethnicity not only as a risk factor for eating disorders (EDs), but also as a moderator of the relations between other risk factors and ED symptoms. The following research ... ...

Abstract	Background: An interesting debate in the literature is about the role of race/ethnicity not only as a risk factor for eating disorders (EDs), but also as a moderator of the relations between other risk factors and ED symptoms. The following research question was explored: Does race/ethnicity moderate the relations between the implicit belief that high-fat food is shameful and ED symptoms? Methods: About 15,000 (N = 14,964) volunteers (67.7% White, 7.7% Asian, 7.4% Hispanic, 6.9% Black) completed the Implicit Association Test (IAT) measuring the implicit associations between high-fat (vs. low-fat) food and shameful (vs. acceptable) on the Project Implicit mental-health website (https://implicit.harvard.edu) between 2011 and 2017. ED symptoms and demographics were measured via self-report. Results: Race/ethnicity moderated (beta = 0.087, p = .002) the relations between IAT and ED symptoms, adjusting for BMI, age, sex, education, such that the IAT was related to ED symptoms among Whites (r = 0.113, p < .001), Hispanics (r = 0.086, p = .004), and Asians (r = 0.097, p = .001), but not Blacks (r = 0.056, p = .071). Discussion: Although the effect size was small, findings imply that some ED risk factors may vary among racial/ethnic groups. Future studies should use prospective designs to examine whether implicit biases actually represent a risk factor for ED symptoms and whether this varies by race/ethnicity.
MeSH term(s)	Ethnic Groups ; Feeding and Eating Disorders ; Hispanic Americans ; Humans ; Prejudice ; Prospective Studies ; Shame
Language	English
Publishing date	2021-03-13
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2073366-5
ISSN	1873-7358 ; 1471-0153
ISSN (online)	1873-7358
ISSN	1471-0153
DOI	10.1016/j.eatbeh.2021.101498
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Article: Health Behaviors during the Early COVID-19 Containment Phase and Their Impact on Psychological Health.

Elran-Barak, Roni / Segel-Karpas, Dikla / Estlein, Roi

Healthcare (Basel, Switzerland)

2023 Volume 11, Issue 14

Abstract: The COVID-19 lockdowns have brought significant changes to individuals' daily lives, including their health behaviors and psychological health. Longitudinal studies exploring changes in health behaviors during the course of the initial containment phase ... ...

Abstract	The COVID-19 lockdowns have brought significant changes to individuals' daily lives, including their health behaviors and psychological health. Longitudinal studies exploring changes in health behaviors during the course of the initial containment phase are relatively scarce. Our aim is to understand how health behaviors have evolved during different phases of the early COVID-19 lockdowns and assess the impact of these changes on psychological well-being. By doing so, we hope to provide valuable insights that can enhance the understanding of the relationship between health behaviors and psychological health, with relevance not only to everyday life but to times of crises. A longitudinal study among 313 adults in Israel (44.5 ± 13.4 years old, 80% women) at three timepoints, beginning with the first COVID-19 lockdown (April 2020) and extending through June 2020. In each wave, participants were asked to report about exercising, eating fruits and vegetables, sharing family meals, and screen time. The BSI (Brief Symptom Inventory) was used to assess psychological health. There was an initial increase in the frequency of exercising (3.06 + 2.3 times a week) and shared meals (breakfast, 3.97 + 2.3; lunch, 5.30 + 1.9; dinner, 5.75 + 1.7 times a day) followed by a subsequent significant decrease in these behaviors (exercising, 2.84 + 2.0; breakfast, 2.63 + 2.1; lunch, 3.48 + 2.3; dinner, 4.75 + 2.0). The health behaviors of more exercising (
Language	English
Publishing date	2023-07-17
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2721009-1
ISSN	2227-9032
ISSN	2227-9032
DOI	10.3390/healthcare11142051
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Article ; Online: Neighborhood violence and health: the mediating role of loneliness among two ethnic groups in Israel.

Elran-Barak, Roni / Baron-Epel, Orna / Donchin, Milka

Health promotion international

2023 Volume 38, Issue 3

Abstract: Neighborhood violence is associated with poor health, but the mechanisms explaining this association are still unknown. This study seeks to examine the role of loneliness as a mediator of the association between neighborhood violence and health among two ...

Abstract	Neighborhood violence is associated with poor health, but the mechanisms explaining this association are still unknown. This study seeks to examine the role of loneliness as a mediator of the association between neighborhood violence and health among two ethnic groups (Arabs and Jews) in Israel. A representative survey was conducted among adult residents (1903 Arabs and 2726 Jews) of four Israeli towns: two Arab towns, one Jewish town and one mixed town. A stratified sample of households by residential area, age and sex, was selected in each town. Mediation models were tested using Hayes' PROCESS procedure. Traffic violations, juvenile delinquency and vandalism were reported by more than 50% of Arab residents, relative to about 25-30% of Jewish residents. Loneliness mediated the association between neighborhood violence and health, with a full serial mediation for mental health and a partial serial mediation for physical health. Findings indicate that Arab towns are characterized by severe neighborhood violence. The association between neighborhood violence and physical health was fully dependent on the mediators among both ethnic groups. Future studies should use prospective designs with objective measures of health and violence to validate our cross-sectional findings.
MeSH term(s)	Adult ; Humans ; Ethnicity ; Israel ; Cross-Sectional Studies ; Loneliness ; Arabs ; Violence
Language	English
Publishing date	2023-06-29
Publishing country	England
Document type	Journal Article
ZDB-ID	1027448-0
ISSN	1460-2245 ; 0957-4824
ISSN (online)	1460-2245
ISSN	0957-4824
DOI	10.1093/heapro/daac028
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Article: Therapeutic alliance with psychotherapist versus dietician: a pilot study of eating disorder treatment in a multidisciplinary team during the COVID-19 pandemic.

Elran-Barak, Roni / Grundman-Shem Tov, Rinat / Zubery, Eynat / Lewis, Yael D

Frontiers in psychiatry

2024 Volume 14, Page(s) 1267676

Abstract: Little is known about the therapeutic alliance (TA) formed with different professionals in multidisciplinary eating disorder (ED) treatment, particularly in the context of online treatment during the COVID-19 pandemic. We aimed to conduct a pilot study ... ...

Abstract	Little is known about the therapeutic alliance (TA) formed with different professionals in multidisciplinary eating disorder (ED) treatment, particularly in the context of online treatment during the COVID-19 pandemic. We aimed to conduct a pilot study during the COVID-19 pandemic examining characteristics of patients' TA with their dieticians and psychotherapists, associations between patients' and therapists' views of the TA, and relationships between psychological characteristics and TAs. Sixty-three patients with EDs and their treating psychotherapists and dieticians were surveyed during the COVID-19 pandemic using the Working Alliance Inventory (WAI-S). Spearman correlation tests were used to examine associations between variables. Positive associations were found between the TAs examined. Concordance was stronger in patient-dietician dyads than in patient-psychotherapist dyads. Severe ED psychopathology was associated with weaker TA (bond subscale). General psychopathology was associated with weaker TA with the dietician (task subscale). Given that several differences were found between the TAs of treatment dyads, further longitudinal studies are needed to validate our pilot findings and to investigate multidisciplinary TAs and their impact on treatment outcomes in online ED treatment settings during the COVID-19 pandemic, as well as in other treatment settings (e.g., in-person settings). This study will contribute to a deeper understanding of the dynamics of TAs in multidisciplinary ED treatment and inform the development of more effective interventions.
Language	English
Publishing date	2024-01-29
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2564218-2
ISSN	1664-0640
ISSN	1664-0640
DOI	10.3389/fpsyt.2023.1267676
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Article ; Online: The associations of healthful weight-control behaviors with psychological distress and changes in body mass index among young adults.

Elran-Barak, Roni

Journal of health psychology

2019 Volume 26, Issue 2, Page(s) 283–295

Abstract: The aim of this research is to study young adults who try to lose weight using only healthful weight-control behaviors. Secondary analyses of the US National Longitudinal Study of Adolescent to Adult Health (Add-Health, ...

Abstract	The aim of this research is to study young adults who try to lose weight using only healthful weight-control behaviors. Secondary analyses of the US National Longitudinal Study of Adolescent to Adult Health (Add-Health,
MeSH term(s)	Adolescent ; Body Mass Index ; Body Weight ; Female ; Health Behavior ; Humans ; Longitudinal Studies ; Psychological Distress ; Young Adult
Language	English
Publishing date	2019-04-08
Publishing country	England
Document type	Journal Article ; Research Support, N.I.H., Extramural
ZDB-ID	2021897-7
ISSN	1461-7277 ; 1359-1053
ISSN (online)	1461-7277
ISSN	1359-1053
DOI	10.1177/1359105319840693
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Article ; Online: Self-Esteem, Weight Status, and Trying to Lose Weight During Young Adulthood: The Roles of Sex and Ethnicity/Race.

Elran-Barak, Roni

Ethnicity & disease

2019 Volume 29, Issue 3, Page(s) 485–495

Abstract: Objectives: This study sought to examine sex and ethnicity/race differences in the associations between self-esteem, weight status, and trying to lose weight among young adults in the United States.: Methods: Data were drawn from Wave III (2001/2002) ...

Abstract	Objectives: This study sought to examine sex and ethnicity/race differences in the associations between self-esteem, weight status, and trying to lose weight among young adults in the United States. Methods: Data were drawn from Wave III (2001/2002) of the US National Longitudinal Study of Adolescent to Adult Health (Add Health public-use sample). Body mass index (BMI) was measured during in-home visits. Weight-loss patterns, self-esteem, and sociodemographics were assessed via self-reports. Logistic regression models were fitted among 4,594 young adults who were aged 21.8 (SD=1.8) years. Results: Obesity was associated with relatively poor self-esteem among both African American (P=.007) and White females (P<.006). In comparison to not trying to lose weight, trying to lose weight was associated with poorer self-esteem among normal-weight (OR=1.23, 95% CI=1.03-1.47) and overweight (OR=1.36, 95% CI=1.07-1.72) White females, but not among White females with obesity (OR=1.19, 95% CI=.92-1.55), African American females (OR=.81, 95% CI=.57-1.17), or males (OR=1.00, 95% CI=.88-1.14). Conclusion: The decision to lose weight was linked with poor self-esteem solely among normal-weight and overweight White females. African American and White females with obesity presented with relatively poor self-esteem, but their decision to lose weight was not linked with their self-esteem. More studies are needed to understand the psychological mechanism behind the decision to lose weight among White females with obesity, African American females, and males.
MeSH term(s)	African Americans/psychology ; Body Mass Index ; Body Weight ; Ethnic Groups/psychology ; European Continental Ancestry Group/psychology ; Female ; Humans ; Logistic Models ; Longitudinal Studies ; Male ; Obesity/psychology ; Self Concept ; Self Report ; United States ; Weight Loss ; Young Adult
Language	English
Publishing date	2019-07-18
Publishing country	United States
Document type	Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
ZDB-ID	1274267-3
ISSN	1945-0826 ; 1049-510X
ISSN (online)	1945-0826
ISSN	1049-510X
DOI	10.18865/ed.29.3.485
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Article ; Online: Relational uncertainty, interdependence and psychological distress during COVID-19: A longitudinal study.

Estlein, Roi / Segel-Karpas, Dikla / Elran-Barak, Roni

Stress and health : journal of the International Society for the Investigation of Stress

2022 Volume 38, Issue 5, Page(s) 1029–1044

Abstract: Drawing on the relational turbulence theory, this study explored the associations of self, partner and relationship uncertainty, and partner interference and facilitation with psychological distress symptoms during the COVID-19 stay-at-home orders. A ... ...

Abstract	Drawing on the relational turbulence theory, this study explored the associations of self, partner and relationship uncertainty, and partner interference and facilitation with psychological distress symptoms during the COVID-19 stay-at-home orders. A longitudinal study of 313 individuals was conducted in Israel at three time points, spanning from the first lockdown (April 2020) and through the alleviation of the severe restrictions (June 2020). Multilevel modelling indicated divergent associations between the different sources of relational uncertainty and interdependence and somatization, depression and anxiety. Further analyses pointed to divergent findings regarding how change in self, partner and relationship uncertainty predicted change in somatization, depression and anxiety over the course of the study, depending on whether the three sources of relational uncertainty were analysed separately or simultaneously in the same model. Change in interference from a partner did not predict changes in psychological distress. Theoretical and practical implications of the findings are discussed.
MeSH term(s)	Humans ; Longitudinal Studies ; COVID-19 ; Communicable Disease Control ; Israel/epidemiology ; Psychological Distress
Language	English
Publishing date	2022-05-04
Publishing country	England
Document type	Journal Article
ZDB-ID	2042041-9
ISSN	1532-2998 ; 1532-3005
ISSN (online)	1532-2998
ISSN	1532-3005
DOI	10.1002/smi.3155
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Article ; Online: Social Capital as a Mediator and Moderator in the Association between Loneliness and Health, Israel as a Case Study.

Baron-Epel, Orna / Elran-Barak, Roni / Donchin, Milka

International journal of environmental research and public health

2022 Volume 19, Issue 6

Abstract: Loneliness has been associated with poor health. Social capital (SC) could possibly prevent the ill effects of loneliness. The study aims to assess the association of loneliness with physical and mental health in four different communities in Israel and ... ...

Abstract	Loneliness has been associated with poor health. Social capital (SC) could possibly prevent the ill effects of loneliness. The study aims to assess the association of loneliness with physical and mental health in four different communities in Israel and study the impact of structural and cognitive SC on that association. A cross-sectional face-to-face survey with 4620 adults in four towns was conducted. The questionnaire included self-rated health (SRH), mental health (MH), loneliness, cognitive and structural SC and socioeconomic characteristics. Logistic regression analysis and mediation and moderation effects were calculated. Loneliness was associated with worse SRH (OR = 0.4-0.5) and worse MH (OR = 2.0-10). Both SC variables were associated with health. However, towns differ in these associations. Structural SC serves as a significant mediator between loneliness and SRH in all towns and is a mediator between loneliness and MH in two towns. Cognitive social capital was a moderator between loneliness and MH in two towns. This study suggests that increasing SC could possibly compensate for loneliness and buffer its effect on health. The study reinforces the need for the performance of separate health profiles to assess possible interventions for each community, as not always can we generalize these results to all communities.
MeSH term(s)	Cross-Sectional Studies ; Israel ; Loneliness/psychology ; Social Capital ; Socioeconomic Factors
Language	English
Publishing date	2022-03-20
Publishing country	Switzerland
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2175195-X
ISSN	1660-4601 ; 1661-7827
ISSN (online)	1660-4601
ISSN	1661-7827
DOI	10.3390/ijerph19063698
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