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      Belongingness challenged: Exploring the impact on older adults during the COVID-19 pandemic

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          Abstract

          Objectives

          The sense of belonging is a fundamental human need. Enacting it through face-to-face social activities was no longer possible during the COVID-19 pandemic. In this study, we investigate how the sense of belonging, and how it is enacted, changed longitudinally amongst older adults in the UK. In addition, we examine the interplay of the sense of belonging and resilience over time.

          Methods

          We employed a longitudinal qualitative research design to explore the experiences of older adults during one year of the COVID-19 pandemic (April 2020-April 2021). The analysis was undertaken with constructivist grounded theory.

          Findings

          Before the pandemic older adults were free to engage in social relationships with family and friends, often enacted within social activity groups where they felt valued and gained positive experiences. During the pandemic face to face enactment of belongingness was reduced; adjustments needed to be made to maintain the sense of belonging. The experience of older adults was heterogeneous. We examine three themes. First, how belongingness was enacted prior to the pandemic. Examples include: family holidays, visiting each other, sports activities, eating with friends and family, and visiting cultural events. Second, how participants adapted and maintained their social involvement. Examples include: distanced face-to-face activities; and learning new technology. Third, for some, a belongingness gap emerged and persisted. There was an irretrievable loss of family members or friends, the closure of social groups, or withdrawal from groups as priorities changed. As a consequence, of challenged belongingness, participants expressed increased loneliness, anxiety, social isolation, frustration and, feelings of depression. For many, the disrupted sense of belonging no longer fostered resilience, and some previously resilient participants were no longer resilient.

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          Most cited references47

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          A theory of human motivation.

          A. MASLOW (1943)
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            Psychosocial impact of COVID-19

            Background Along with its high infectivity and fatality rates, the 2019 Corona Virus Disease (COVID-19) has caused universal psychosocial impact by causing mass hysteria, economic burden and financial losses. Mass fear of COVID-19, termed as “coronaphobia”, has generated a plethora of psychiatric manifestations across the different strata of the society. So, this review has been undertaken to define psychosocial impact of COVID-19. Methods Pubmed and GoogleScholar are searched with the following key terms- “COVID-19”, “SARS-CoV2”, “Pandemic”, “Psychology”, “Psychosocial”, “Psychitry”, “marginalized”, “telemedicine”, “mental health”, “quarantine”, “infodemic”, “social media” and” “internet”. Few news paper reports related to COVID-19 and psychosocial impacts have also been added as per context. Results Disease itself multitude by forced quarantine to combat COVID-19 applied by nationwide lockdowns can produce acute panic, anxiety, obsessive behaviors, hoarding, paranoia, and depression, and post-traumatic stress disorder (PTSD) in the long run. These have been fueled by an “infodemic” spread via different platforms social media. Outbursts of racism, stigmatization, and xenophobia against particular communities are also being widely reported. Nevertheless, frontline healthcare workers are at higher-risk of contracting the disease as well as experiencing adverse psychological outcomes in form of burnout, anxiety, fear of transmitting infection, feeling of incompatibility, depression, increased substance-dependence, and PTSD. Community-based mitigation programs to combat COVID-19 will disrupt children's usual lifestyle and may cause florid mental distress. The psychosocial aspects of older people, their caregivers, psychiatric patients and marginalized communities are affected by this pandemic in different ways and need special attention. Conclusion For better dealing with these psychosocial issues of different strata of the society, psychosocial crisis prevention and intervention models should be urgently developed by the government, health care personnel and other stakeholders. Apt application of internet services, technology and social media to curb both pandemic and infodemic needs to be instigated. Psychosocial preparedness by setting up mental organizations specific for future pandemics is certainly necessary.
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              The need to belong: desire for interpersonal attachments as a fundamental human motivation.

              A hypothesized need to form and maintain strong, stable interpersonal relationships is evaluated in light of the empirical literature. The need is for frequent, nonaversive interactions within an ongoing relational bond. Consistent with the belongingness hypothesis, people form social attachments readily under most conditions and resist the dissolution of existing bonds. Belongingness appears to have multiple and strong effects on emotional patterns and on cognitive processes. Lack of attachments is linked to a variety of ill effects on health, adjustment, and well-being. Other evidence, such as that concerning satiation, substitution, and behavioral consequences, is likewise consistent with the hypothesized motivation. Several seeming counterexamples turned out not to disconfirm the hypothesis. Existing evidence supports the hypothesis that the need to belong is a powerful, fundamental, and extremely pervasive motivation.
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                Author and article information

                Contributors
                Role: ConceptualizationRole: Formal analysisRole: InvestigationRole: MethodologyRole: Writing – original draft
                Role: ResourcesRole: Writing – review & editing
                Role: Funding acquisition
                Role: Funding acquisitionRole: ResourcesRole: Writing – review & editing
                Role: ConceptualizationRole: Formal analysisRole: InvestigationRole: MethodologyRole: SupervisionRole: Writing – review & editing
                Role: Editor
                Journal
                PLoS One
                PLoS One
                plos
                PLoS ONE
                Public Library of Science (San Francisco, CA USA )
                1932-6203
                20 October 2022
                2022
                20 October 2022
                : 17
                : 10
                : e0276561
                Affiliations
                [1 ] Department of Psychology, University of Liverpool, Liverpool, United Kingdom
                [2 ] Institute for Risk and Uncertainty, School of Engineering, University of Liverpool, Liverpool, United Kingdom
                [3 ] School of Engineering, University of Liverpool, Liverpool, United Kingdom
                [4 ] Department of Psychology, University of Sheffield, Sheffield, United Kingdom
                King Abdulaziz University, SAUDI ARABIA
                Author notes

                Competing Interests: The authors have declared that no competing interests exist.

                Author information
                https://orcid.org/0000-0001-7241-0808
                https://orcid.org/0000-0003-3164-6894
                Article
                PONE-D-22-14576
                10.1371/journal.pone.0276561
                9584528
                36264965
                f3609eed-a814-4269-855b-36d2dd9627db
                © 2022 Derrer-Merk et al

                This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

                History
                : 19 May 2022
                : 9 October 2022
                Page count
                Figures: 3, Tables: 1, Pages: 19
                Funding
                Funded by: ESRC
                Award ID: ES/V004379/1
                Award Recipient :
                Funded by: ESRC
                Award ID: ES/V004379/1
                Award Recipient :
                Grant Number: ES/V004379/1 (Richard P Bentall [RPB], Kate M Bennett [KMB]) ESRC https://www.ukri.org/opportunity/esrc-research-grant/ The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
                Categories
                Research Article
                Medicine and Health Sciences
                Epidemiology
                Pandemics
                Social Sciences
                Sociology
                Human Families
                Medicine and Health Sciences
                Medical Conditions
                Infectious Diseases
                Viral Diseases
                Covid 19
                Computer and Information Sciences
                Network Analysis
                Network Resilience
                People and Places
                Population Groupings
                Age Groups
                Adults
                Elderly
                Research and Analysis Methods
                Research Design
                Qualitative Studies
                Biology and Life Sciences
                Psychology
                Social Psychology
                Social Sciences
                Psychology
                Social Psychology
                Medicine and Health Sciences
                Medical Conditions
                Infectious Diseases
                Infectious Disease Control
                Social Distancing
                Custom metadata
                Data cannot be shared publicly. The interviewed participants had been identified as potentially vulnerable. This is prohibiting the authors to make the data public available. However, for researchers who meet the criteria for access to confidential data (see ethical approval https://osf.io/hz7be/) can retrieve anonymised data from Dr Gayle Brewer ( Gayle.Brewer@ 123456liverpool.ac.uk ). She is a member of the ethics committee (Vice Chair of central university research ethics committee - CUREA) which has oversight of the research governance of the data.
                COVID-19

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