scholarly journals Condition openness is associated with better mental health in individuals with an intersex/differences of sex development condition: structural equation modeling of European multicenter data

2021 ◽  
pp. 1-12
Author(s):  
Tim C. van de Grift ◽  

Abstract Background Openness on one's health condition or (stigmatized) identity generally improves mental health. Intersex or differences of sex development (DSD) conditions have long been kept concealed and high levels of (internalizing) mental health problems are reported. This study examines the effects of condition openness on anxiety and depression and the role of mediating concepts in this population. Methods Cross-sectional data of individuals of 16 years and older with an intersex/DSD condition was collected in 14 specialized European clinics as part of the dsd-LIFE study. Patient-reported measures were taken on openness and shame (Coping with DSD), self-esteem (Rosenberg Self-Esteem Scale), satisfaction with care (CSQ4), anxiety and depression (HADS). Scores were compared per clinical group and data were analyzed via structural equation modeling (SEM) to calculate prediction and mediation models. Results Data of 903 individuals were included in this study (Turner syndrome (n = 284), 46, XY DSD (n = 233), CAH (n = 206) and Klinefelter syndrome (n = 180)). Participants were moderately open on their condition. High levels of both anxiety and depression were observed across the sample. In SEM analysis, the tested models predicted 25% of openness, 31% of anxiety and 48% of depression. More condition openness directly predicted lower anxiety and depression symptoms, as well as indirectly through increased self-esteem, self-satisfaction and satisfaction with social support. Conclusions Condition openness is associated with lower anxiety and depression in individuals with an intersex/DSD condition. Healthcare may provide the necessary knowledge and skills to employ one's optimal level of self-disclosure in order to improve mental health.

2016 ◽  
Vol 44 (7) ◽  
pp. 1123-1132 ◽  
Author(s):  
Haishu Qiao ◽  
Yue Xia ◽  
Ying Li

Because bank employees have been found to be especially susceptible to burnout and depression, we explored the relationship between these variables, and examined the moderating effect of perceived employability on the burnout–depression relationship in a sample of Chinese bank employees. As we expected, burnout and perceived employability were, respectively, positively and negatively associated with depression. The results of hierarchical regression and structural equation modeling indicated that perceived employability moderated the relationship between burnout and depression; higher perceived employability was associated with a weaker relationship between burnout and depression. Interventions aimed at developing the perceived employability of Chinese bank employees may help to improve mental health in this group.


2016 ◽  
Vol 9 (2) ◽  
pp. 166
Author(s):  
Majid Golzarpour ◽  
Meroe Vameghi ◽  
Homeira Sajjadi ◽  
Gholamreza Ghaedamini Harouni

<p><strong>BACKGROUND:</strong> Worldwide, much evidence exists on the influence of parents’ socioeconomic conditions, including employment, on children’s health. However, the mechanisms for this affect are still being investigated. Few studies have been conducted in Iran to investigate this issue. This study investigated working conditions, job satisfaction, and mental health of employed people and the association between these variables and their children’s health.<strong></strong></p><p><strong>MATERIALS &amp; METHODS:</strong> In this correlational work, 200 male and female staff of the official part of Educational Organization and the schools of Mashhad with children aged 5-18 years was randomly selected. The data were gathered using a demographic questionnaire, the 20-item Minnesota Job Satisfaction Questionnaire, the 28-item General Health Questionnaire, and the 28-item Child Health Questionnaire. The data were then analyzed using SPSS. The associations under study were investigated by structural equation modeling in AMOS.<strong></strong></p><p><strong>RESULTS:</strong> Approximately 17% of the variation in the parents’ job satisfaction could be explained by the parents’ insurance, income, and work hours; 6% of the variation in their mental health was explained by job satisfaction, and 26% of the variation in children’s health was directly explained by the parents’ job satisfaction and mental health. However, approximately 32.2% of the variation in children’s health could be explained in the light of the direct effect of the parents’ mental health and direct and indirect effects of the parents’ job satisfaction. The goodness of fit index was 0.94.</p><p><strong>CONCLUSION:</strong> Parents’ job satisfaction was associated with and considerably explained children’s health. Although this finding may be partially related to the job satisfaction effect on mental health, the reasons for the affect of job satisfaction on children’s health and the potential mechanisms of this association require further studies.<strong></strong></p>


2022 ◽  
Vol 7 (1) ◽  
pp. 286
Author(s):  
Khalida Zia Br.Siregar ◽  
Ratnasari Hinggardipta ◽  
Venazmi Livia Buamona

Penelitian ini bertujuan untuk mengetahui hubungan antara attachment dengan self-esteem remaja serta memberikan gambaran keterikatan remaja dengan ayah, ibu dan teman selama pandemic covid-19 terhadap harga diri (self esteem) remaja. Penelitian dilakukan dengan sampel 319 siswa berusia 12 – 18. Data diperoleh Menggunakan alat ukur Parents Peer Attachment Revised (IPPA-R) dan Rosenberg Self Esteem Scale (RSES). Analisis data menggunakan model persamaan struktural (Structural Equation Modeling atau SEM) yang dibantu dengan program aplikasi SmartPLS. Hasil analisis menunjukan hubungan positif antara Attachment terhadap selfesteem. Pada situasi pandemic ini terlihat bahwa peer-attachment kurang signifikan terhadap attachment dan self-esteem sedangkan Father-Attachment lebih signifikan disbanding Mother attachment terhadap attachment dan pengaruhnya dengan self-esteem.


2018 ◽  
Vol 49 (2) ◽  
pp. 287-294 ◽  
Author(s):  
Lutz Wartberg ◽  
Levente Kriston ◽  
Matthias Zieglmeier ◽  
Tania Lincoln ◽  
Rudolf Kammerl

AbstractBackgroundIn 2013, Internet gaming disorder (IGD) was incorporated in the current version of the DSM-5. IGD refers to a problematic use of video games. Longitudinal studies on the etiology of IGD are lacking. Furthermore, it is currently unclear to which extent associated psychopathological problems are causes or consequences of IGD. In the present survey, longitudinal associations between IGD and adolescent and parental mental health were investigated for the first time, as well as the temporal stability of IGD.MethodsIn a cross-lagged panel design study, family dyads (adolescent with a parent each) were examined in 2016 (t1) and again 1 year later (2017, t2). Overall, 1095 family dyads were assessed at t1 and 985 dyads were re-assessed at t2 with standardized measures of IGD and several aspects of adolescent and parental mental health. Data were analyzed with structural equation modeling (SEM).ResultsMale gender, a higher level of hyperactivity/inattention, self-esteem problems and IGD at t1 were predictors of IGD at t2. IGD at t1 was a predictor for adolescent emotional distress at t2. Overall, 357 out of the 985 adolescents received a diagnosis of IGD at t1 or t2: 142 (14.4%) at t1 and t2, 100 (10.2%) only at t1, and 115 (11.7%) only at t2.ConclusionsHyperactivity/inattention and self-esteem problems seem to be important for the development of IGD. We found first empirical evidence that IGD could prospectively contribute to a deterioration of adolescent mental health. Only a subgroup of affected adolescents showed IGD consistently over 1 year.


2016 ◽  
Vol 57 (6) ◽  
pp. 685-704 ◽  
Author(s):  
Liying Zhang ◽  
Xiaoming Li ◽  
Bo Wang ◽  
Zhiyong Shen ◽  
Yuejiao Zhou ◽  
...  

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