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07 April 2020 | Story Dr Jacques Jordaan | Photo Supplied
Dr Jacques Jordaan
Dr Jacques Jordaan.

All South African citizens are by now aware of the global pandemic caused by the COVID-19 virus. Our president, Cyril Ramaphosa, placed the entire country in a state of lockdown to limit the spread of the virus in South Africa. Schools, tertiary institutions, churches, and numerous businesses (which do not provide essential services) had to close. The lockdown aims to ensure that citizens stay at home, isolate themselves from others, and that those who can work from home should do so. The consequence and reality, however, is physical and social isolation, which of course also means that many people are currently alone and lonely.

Working from home
There are several benefits to working from home; for example, you can manage your own time, work in comfortable clothes, and you can work undisturbed and with less interruptions. Although the lockdown – and thus social isolation – will only last for (maybe) 21 days, there are psychological disadvantages associated with social isolation. Many people could soon become discouraged and demotivated because of the time away from others due to social isolation. Social isolation is the absence of social interaction, contact, and relationships with loved ones, colleagues, strangers, and even society as a whole. Humans, by nature, are social beings who strive towards social interaction with others, and social interaction is essential for people's well-being and survival. Although it is also natural to occasionally seek alone time, the effect of social isolation can have negative consequences for the emotional well-being of individuals.

Consequences of social isolation
Studies have shown that long-term social isolation has dire consequences for people's physical and mental health, such as increased risk of premature death and higher tendencies towards depression. Still, social isolation – even for a few weeks – can also have a negative psychological impact on people's lives. Social isolation can lead to feelings of despair and loneliness, depression, anxiety, substance abuse, and sleep difficulties. Furthermore, in times of social isolation, individuals tend to exhibit more forms of unhealthy behavior than usual, such as smoking and drinking more alcohol. Feelings of loneliness tend to worsen when individuals are isolated with people with whom they do not have a close relationship and, therefore, loneliness becomes a more significant struggle during times of social isolation. This can turn into a vicious cycle, leading to more loneliness and depression if not dealt with. During these isolation periods, individuals may even become complacent, and consequently do not have goals and routines.

Social isolation will, however, affect people differently. More extroverted people will long for social engagement with others and might feel as if they want to climb the walls. They will just want to go shopping and spend time with others. More introverted individuals may enjoy this alone time and spend time taking long baths and reading books. However, everyone will start to experience social isolation negatively at some point. Families will, for example, not be used to these extended periods together, and this may lead to increased conflict between family members. Individuals with big homes can spend time in their gardens and exercise on their lawns, but what about those individuals living in overcrowded flats or informal accommodations. Such individuals may be more inclined to experience depression, anxiety, and loneliness. Individuals with drinking and smoking habits may become more dependent on these substances during the lockdown. Also keep in mind those individuals who have small children who are now home for several weeks and need to be kept busy and entertained by their parents. Parents are not used to being responsible for keeping their children busy productively.

Socializing through social media
People might still be fine and feel good now, but we have not yet reached the halfway point of the lockdown, and how will individuals cope if the lockdown is extended. There is, of course, hope. It is important to remember that although people are currently isolated, they can still attempt to be social by using various forms of social media. Recent studies have shown that individuals may experience less loneliness when interacting with others through various forms of social media. Accordingly, individuals need to make more contact with others and reach out to those that they have not heard from in a while. Social interaction is crucial, as many of us need social interaction to cope with daily challenges. However, also beware of negative content or fake news. Social interaction via the internet might not fulfil everyone’s needs as with interpersonal communication and interaction, but it still allows us to experience a sense of congregation and community.

Stay positive
The reality is, however, that many people also do not have access to the internet and social media, and therefore cannot communicate with others. It then becomes essential that people should continue with certain routines in their lives and to not just sit in front of the television. People still have to set goals (even smaller goals) for themselves and try to achieve them. Everyone should try to change their perspective by trying to stay positive. People need to attempt any form of exercise and keep their minds occupied with books or brain games. Fortunately, when it comes to children, most schools have provided parents with study material to keep their children busy educationally. Alternatively, parents should create some form of structure and routine for their children during the lockdown. Families can play board games and create their own fun activities. Children should also be allowed to engage with their friends via social media if they become lonely. And parents should allow their children to share their worries and concerns openly. Individuals need to be prepared, because when this mandatory period of isolation ends, everyone will have to resume their normal activities.

Get help
If not addressed, these experiences of overwhelming loneliness, sadness or lack of meaning may continue long after the lockdown has ended. Individuals who experience depression and loneliness after the lockdown should reach out to others, try to eat healthy foods, do fun things, and exercise more. Such individuals should also consider contacting mental healthcare professionals for assistance. They can also visit the South African Depression and Anxiety Group's website or Facebook page for help.

Social distancing is vital at this stage, but as South African citizens, we must remember that we are not going through this alone. We are isolated from others, but together we are all fighting the same battle against COVID-19.

Opinion article by Dr Jacques Jordaan, Lecturer and Undergraduate Coordinator: Psychology Programme Director: B.Soc.Sc. Faculty: The Humanities, University of the Free State

News Archive

The state of HIV/AIDS at the UFS
2010-05-11

“The University of the Free State (UFS) remains concerned about the threat of HIV/AIDS and will not become complacent in its efforts to combat HIV/AIDS by preventing new infections”, states Ms Estelle Heideman, Manager of the Kovsies HIV/AIDS Centre at the UFS.

She was responding to the results of a study that was done at Higher Education Institutions (HEIs) in 2008. The survey was initiated by Higher Education AIDS (HEAIDS) to establish the knowledge, attitudes, behaviours and practices (KABP) related to HIV and AIDS and to measure the HIV prevalence levels among staff and students. The primary aim of this research was to develop estimates for the sector.

The study populations consisted of students and employees from 21 HEIs in South Africa where contact teaching occurs. For the purpose of the cross-sectional study an ‘anonymous HIV survey with informed consent’ was used. The study comprised an HIV prevalence study, KABP survey, a qualitative study, and a risk assessment.

Each HEI was stratified by campus and faculty, whereupon clusters of students and staff were randomly selected. Self-administered questionnaires were used to obtain demographic, socio-economic and behavioural data. The HIV status of participants was determined by laboratory testing of dry blood spots obtained by finger pricks. The qualitative study consisted of focus group discussions and key informant interviews at each HEI.

Ethical approval was provided by the UFS Ethics Committee. Participation in all research was voluntary and written informed consent was obtained from all participants. Fieldwork for the study was conducted between September 2008 and February 2009.

A total of 1 004 people participated at the UFS, including the Main and the Qwaqwa campuses, comprising 659 students, 85 academic staff and 256 administration/service staff. The overall response rate was 75,6%.

The main findings of the study were:

HIV prevalence among students was 3,5%, 0% among academics, 1,3% among administrative staff, and 12,4% among service staff. “This might not be a true reflection of the actual prevalence of HIV at the UFS, as the sample was relatively small,” said Heideman. However, she went on to say that if we really want to show our commitment towards fighting this disease at our institution a number of problem areas should be addressed:

  • Around half of all students under the age of 20 have had sex before and this increased to almost three-quarters of students older than 20.

     
  • The majority of staff and a third of students had ever been tested for HIV.

     
  • More than 50% of students drink more than once per week and 44% of students reported being drunk in the past month. Qualitative data suggests that binge drinking over weekends and at campus ‘bashes’ is an area of concern.

Recommendations of the study:

  • Emphasis should be on increased knowledge of sexual risk behaviours, in particular those involving a high turnover of sexual partners and multiple sexual partnerships. Among students, emphasis should further be placed on staying HIV negative throughout university study.

     
  • The distribution of condoms on all campuses should be expanded, systematised and monitored. If resistance is encountered, attempts should be made to engage and educate dissenting institutional members about the importance of condom use in HIV prevention.

     
  • The relationship between alcohol misuse and pregnancy, sexually transmitted infections (STIs), HIV and AIDS needs to be made known, and there should be a drive to curb high levels of student drinking, promote non-alcohol oriented forms of recreation, and improve regulation of alcohol consumption at university-sponsored “bashes”.

     
  • There is need to reach out to students and staff who have undergone HIV testing and who know their HIV status, but do not access or benefit from support services. Because many HIV-positive students and staff are not receiving any kind of support, resources should be directed towards the development of HIV care services, including support groups.

Says Heideman, “If we really want to prove that we are serious about an HIV/AIDS-free campus, these results are a good starting point. It definitely provides us with a strong basis from which to work.” Since the study was done in 2008 the UFS has committed itself to a more comprehensive response to HIV/AIDS. The current proposed ‘HIV/AIDS Institutional response and strategic plan’, builds and expands on work that has been done before, the lessons learned from previous interventions, and a thorough study of good practices at other universities.

Media Release
Issued by: Mangaliso Radebe
Assistant Director: Media Liaison
Tel: 051 401 2828
Cell: 078 460 3320
E-mail: radebemt@ufs.ac.za  
10 May 2010

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