scholarly journals Childhood adversities and mental health outcomes: Does the perception or age of the event matter?

2020 ◽  
pp. 1-14
Author(s):  
Sonya Negriff
Keyword(s):  
Mental Health ◽  
Health Outcomes ◽  
Latent Class ◽  
Mental Health Outcomes ◽  
Mental Health Symptoms ◽  
Childhood Adversities ◽  
Health Symptoms ◽  
Adverse Experiences ◽  
Sum Score ◽  
The Individual

Abstract The current study extends knowledge regarding the individual contribution of different adverse experiences to mental health symptoms in late adolescence by including the perception of how upsetting each experience was to the adolescent and the age at the first occurrence. We also sought to move beyond sum scores of adverse experiences by using a person-centered approach to classifying individuals with similar co-occurrence of adversities. The data came from a longitudinal study of maltreatment on adolescent development (N = 454). Self-reported childhood adversities were assessed at Wave 4 (average of 7 years postbaseline) and examined with respect to current mental health symptoms (depression, PTSD, anxiety, and externalizing). Although the adversity sum score was a potent predictor of all mental health outcomes, the results indicated that the use of a sum score obscures information about the importance of individual adversities. Additionally, the influence of age of occurrence varied based on the adversity and outcome, while the perception of the event did not add much unique variance. Finally, the latent class analyses provided unique information about the patterns of co-occurring adversity in this sample, and that membership in either of the multiple-adversity classes was associated with more mental health symptoms.

Combat Deployment Experiences and Soldier Mental Health: Examining the Factor Structure of a Combat Experiences Scale

2021 ◽  
Author(s):  
Haley Sherman ◽  
Nicky Frye-Cox ◽  
Mallory Lucier-Greer
Keyword(s):  
Mental Health ◽  
Principal Component Analysis ◽  
Depressive Symptoms ◽  
Health Outcomes ◽  
Factor Structure ◽  
Principal Component ◽  
Mental Health Outcomes ◽  
Mental Health Symptoms ◽  
Coping With Stress ◽  
Health Symptoms

ABSTRACT Introduction Researchers and practitioners are invested in understanding how deployment experiences impact the nearly 193,000 U.S. service members who deploy in a given year. Yet, there remains a need to adequately identify salient deployment experiences through survey measurement tools and understand how differential experiences are uniquely related to mental health outcomes. Therefore, this study examined the factor structure of an established combat experiences measure from the Army Study to Assess Risk and Resilience in Service members (Army STARRS) dataset to identify underlying survey constructs that reflect nuanced deployment experiences. Then, we examined the association between diverse combat experiences and current mental health symptoms (i.e., anxiety and depressive symptoms) and the mediating role of coping. Materials and Methods Data were drawn from the Army STARRS data (N = 14,860 soldiers), specifically the All Army Study component. A principal component analysis (PCA) was conducted to examine the dimensionality of the combat experiences scale, and then a path model was conducted to examine the relationships between combat experiences, coping with stress following a deployment, and mental health symptoms while controlling for relevant individual and interpersonal factors. Results Results from the principal component analysis suggested that the Army STARRS combat experiences scale encompasses two components, specifically: “Expected combat experiences” and “Responsible for non-enemy deaths.” Both “Expected combat experiences” and “Responsible for non-enemy deaths” were associated with higher levels of anxiety and depressive symptoms, respectively, and “Responsible for non-enemy deaths” was also indirectly linked to these mental health outcomes through coping with stress after deployment. Conclusions These findings provide insight into the dimensionality of combat experiences and offer practitioners a more nuanced understanding of how to process unique combat experiences that differentially relate to mental health symptoms.

scholarly journals Relationships between Parent-Reported Parenting, Child-Perceived Parenting, and Children’s Mental Health in Taiwanese Children

2019 ◽  
Vol 16 (6) ◽  
pp. 1049 ◽  
Author(s):  
Ching-Yu Huang ◽  
Yi-Ping Hsieh ◽  
April Shen ◽  
Hsi-Sheng Wei ◽  
Jui-Ying Feng ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Outcomes ◽  
Chinese Culture ◽  
Children’S Mental Health ◽  
Mental Health Outcomes ◽  
Children's Mental Health ◽  
Mental Health Symptoms ◽  
Health Symptoms ◽  
Perceived Parenting ◽  
Chinese Parenting

The current study examines the relationship between parents’ and children’s reports of parenting and their effects on children’s mental health symptoms. Six hundred and sixty-six parent-child dyads in Taiwan participated in this study. The parents and the children filled out the parenting questionnaires, and the children also reported their general mental health. The results demonstrated that parental-reported and child-perceived parenting were positively correlated, but parents tended to report lower scores on authoritarian parenting and higher scores on Chinese parenting than did their children. There were also significant gender differences: The mothers reported higher authoritative parenting than did the fathers; and the boys perceived higher authoritarian and Chinese-culture specific parenting than did the girls. Moreover, the Chinese parenting had a negative effect on children’s mental health outcomes. Finally, our results showed that children’s perception of parenting had a stronger effect on children’s mental health symptoms than did parental reports on parenting, urging future research to include the children’s report when investigating the effects of parenting on children’s mental health outcomes.

scholarly journals Psychological Resilience in Response to Adverse Experiences

2021 ◽  
pp. 395-416
Author(s):  
Cassandra M. Popham ◽  
Fiona S. McEwen, and ◽  
Michael Pluess
Keyword(s):  
Mental Health ◽  
Health Outcomes ◽  
Developmental Psychology ◽  
Developmental Process ◽  
Mental Health Outcomes ◽  
Psychological Resilience ◽  
Positive Adaptation ◽  
Adverse Experiences ◽  
Wide Variability ◽  
The Individual

In the field of developmental psychology, resilience is broadly understood as positive adaptation despite exposure to adversity. The concept provides an explanation for the wide variability in mental health outcomes observed in children exposed to adverse experiences. Although resilience has become an important and influential concept in the field, some fundamental questions remain, such as how it should be defined and operationalized and what the specific processes are that lead to positive mental health outcomes in some children but not others. These questions are particularly relevant in the context of the global refugee crisis to understand and promote resilience in children exposed to war and displacement. In this chapter the authors argue that a holistic view is required to understand resilience and provide a model integrating five important psychological concepts. The five components of our integrated model of resilience suggest that (a) development is nested within multiple psychosocial and bio-ecological systems; (b) individual differences in environmental sensitivity influence the individual response to both negative and positive aspects of the environment; (c) resilience mechanisms can be investigated across multiple levels of analysis; (d) the conceptualization of positive adaptation should consider multiple outcome dimensions; and (e) resilience represents a developmental process that needs to be examined longitudinally. After presenting this model, the authors review empirical studies in relation to each of these five components and suggest how they can be further applied in the study of resilience to war and displacement in refugee children.

Snapshot of a social movement: mental health and protest classes in Hong Kong

2021 ◽  
Author(s):  
Adrienne Wing Yee Li ◽  
Wai Ho CHAK ◽  
Kenneth S.L. Yuen
Keyword(s):  
Mental Health ◽  
Hong Kong ◽  
Latent Class ◽  
Demographic Data ◽  
Mental Health Symptoms ◽  
Health Symptoms ◽  
Class Differences ◽  
Potentially Traumatic Events ◽  
Political Views ◽  
Tear Gas

Background: Popular protests have broken out in worldwide, particularly in the last few years. In 2019, numerous demonstrations against an extradition bill occurred in Hong Kong until pandemic restrictions were imposed. The policing response relied heavily on methods such as batons, tear gas and rubber bullets. Given the relevance for other geographical contexts, the current study investigated the mental health impacts on protest participants and spillover to community members.Methods: Surveys were disseminated on social media in August and October 2019 to collect demographics, political views, protest participation, exposure to (protest-related) potentially traumatic events (PTEs) and mental health symptoms. A latent class analysis (LCA) was conducted using demographic data and inter-class differences in PTEs and mental health symptoms were examined.Results: There were 37,541 (59.8% female) and 40,703 (50.0% female) responses in August and October. Respondents, even those with low participation, reported significant levels of depression, anxiety, and symptoms of traumatic stress (STS). The LCA suggested a 5-class solution (youth, allies, supporters, sympathizers, and frontliners). Mental health symptoms and PTEs varied with class membership, with 50.8% of frontliners reporting severe STS.Limitations: The non-random sampling and self-reported measures may over-estimate the prevalence of mental distress in the wider population.Conclusions: Large numbers of pro-democracy supporters in Hong Kong reported high rates of depression, anxiety and STS during mass protests. Younger and more heavily involved respondents faced the highest mental health risks, however elevated rates were also observed for respondents with low participation.

scholarly journals Impact of COVID-19 on lifestyle habits and mental health symptoms in children with attention-deficit/hyperactivity disorder in Canada

2021 ◽  
Author(s):  
Rose Swansburg ◽  
Tasmia Hai ◽  
Frank P MacMaster ◽  
Jean-François Lemay
Keyword(s):  
Mental Health ◽  
Attention Deficit Hyperactivity Disorder ◽  
Health Outcomes ◽  
Attention Deficit ◽  
Mental Health Symptoms ◽  
Lifestyle Habits ◽  
Health Symptoms ◽  
Children With Adhd ◽  
Hyperactivity Disorder ◽  
Screen Use

Abstract Objectives The COVID-19 pandemic created an environment of restricted access to health and recreation services. Lifestyle habits including sleep, eating, exercise, and screen use were modified, potentially exacerbating adverse mental health outcomes. This study investigates the impact of COVID-19 on lifestyle habits and mental health symptoms in paediatric attention-deficit/hyperactivity disorder (ADHD) in Canada. Methods An online survey was distributed across Canada to caregivers of children with ADHD (children aged 5 to 18 years) assessing depression (PHQ-9), anxiety (GAD-7), ADHD (SNAP-IV), and lifestyle behaviours. Data were analyzed by gender (male/female) and age category (5 to 8, 9 to 12, and 13 to 18 years). Spearman’s correlations between lifestyle habits and mental health outcomes were conducted. Results A total of 587 surveys were completed. Mean child age was 10.14 years (SD 3.06), including 166 females (28.3%). The PHQ-9 and GAD-7 indicated that 17.4% and 14.1% of children met criteria for moderately severe to severe depression and anxiety symptoms respectively. Children met SNAP-IV cut-off scores for inattention (73.7%), hyperactivity/impulsivity (66.8%), and oppositional defiant disorder (38.6%) behaviours. Caregivers reported changes in sleep (77.5%), eating (58.9%), exercise (83.7%), and screen use (92.9%) in their ADHD child, greatly impacting youth. Sleeping fewer hours/night, eating more processed foods, and watching TV/playing videogames >3.5 hours/day correlated with greater depression, anxiety and ADHD symptoms, and exercising <1 hour/day further correlated with depression symptoms (P<0.01). Conclusions The COVID-19 pandemic has resulted in less healthy lifestyle habits and increased mental health symptoms in Canadian children with ADHD. Longitudinal studies to better understand the relationship between these factors are recommended.

scholarly journals Lifetime Interpersonal Polyvictimization: Abuse Typologies and Mental Health Outcomes in a Nationally Representative Sample of Men from the United States

2018 ◽  
Vol 3 (2) ◽  
Author(s):  
Carol Rhonda Burns ◽  
Cherie Armour
Keyword(s):  
Mental Health ◽  
Health Outcomes ◽  
Latent Class ◽  
The United States ◽  
Mental Health Outcomes ◽  
Traumatic Experience ◽  
Adult Males ◽  
Increased Risk ◽  
Class 1 ◽  
Nationally Representative

BackgroundInterpersonal polyvictimisation experiences are a specific type of traumatic experience that include physical, sexual or psychological attacks against a person and much research has concentrated on female only or mixed samples. Being a victim of one form of victimisation experience increases the risk of further victimisation experience resulting in polyvictimisation, and elevates the likelihood on negative mental health outcomes. ObjectivesThe current study seeks to establish interpersonal polyvictimisation typologies within a male sub-population of a large epidemiologic sample and establish associated risk of psychopathology across a range of mental health outcomes. MethodsUsing data from 15,794 adult males, aged over 18 years who completed the NESARC III, a Latent Class Analysis (LCA) of the endorsement of interpersonal victimisation experiences was conducted to establish latent profiles of interpersonal polyvictimisation. Subsequently regression analysis was conducted to establish risk of psychopathology across a series of DSM 5 diagnosed mental health conditions. FindingsA three-class solution was deemed optimal in line with published fit statistics. Class 3 was categorised by low/no endorsement and was labelled ‘normative’, Class 2 was categorised by high endorsement of childhood indicators and was labelled ‘childhood’, class 1 showed a moderate endorsement across life-course victimisation indicators and was labelled ‘lifecourse’. Interpersonal polyvictimisation profiles showed increased risk of negative mental health outcomes in adulthood suggesting that distinct typologies of interpersonal polyvictimisation exist within the adult male only population. ConclusionsExperiences of interpersonal polyvictimisation are robustly associated with adult psychopathology in males including elevated rates of the likelihood of PTSD, Anxiety and Depression in a dose response fashion. Interventions and support services should therefore be developed and implemented that are targeted to gender specific distinctiveness.

scholarly journals Childhood adversities and related mental health among children in socialization centers

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
A Peciukaityte ◽  
M Jakubauskiene
Keyword(s):  
Mental Health ◽  
High Schools ◽  
Life Course ◽  
Health Outcomes ◽  
Physical Health ◽  
Criminal Behavior ◽  
Early Adulthood ◽  
Mental Health Outcomes ◽  
Childhood Adversities ◽  
Mental And Physical Health

Abstract Background Life course paradigm provides a comprehensive overview of different determinants and mental health outcomes during the life course. Childhood adversities experienced in early adulthood are related to poor mental and physical health in the future. The aim of the study was to identify relations between experienced childhood adversities and mental health outcomes among children in socialization centers and regional high schools (HS) in Lithuania. Methods A prevalence study was conducted in all 3 socialization centers (SC) in Lithuania (n = 35) and two regional high schools (n = 96) among 13-18 year old’s. Anonymous individual interviews were conducted in 2018. Descriptive statistics using SPSS was applied for assessment of adverse life events, mental health risk factors and outcomes (%). Pearson chi square, Fisher test, Kruskal - Wallis H were applied for comparison and statistical significance (p ≤ 0,05). Results Prevalence of bullying among children in SC was 77.1% (47.9% among HS children), parental divorce - 60% (27% HS), parental criminal behavior - 40 % (2.1% HS), family violence - 48.6% (16.7% HS), physical abuse - 62.9% (9.4% HS), parental alcohol use - 40% (13.5% HS). 74.3% among children in SC experienced neglect, physical traumas (39.6% HS), prevalence of suicidal behavior was 25.7% and 6.25% accordingly. Criminal behavior, alcohol, substance abuse and smoking were much more prevalent among children in socialization centers than among high school children (p < 0.01). Conclusions Children in socialization centers had higher exposure of childhood adversities and poorer mental health outcomes. High prevalence of adversities was related to poor parenting skills as well as toxic family and social environment. Key messages Childhood adversities experienced in early adulthood are related to poor mental and physical health as well as deprivation of social performance in later life. Childhood adversities are more prevalent among children in socialization centres than in regional high schools.

The 12-month prevalence of psychotic experiences and their association with clinical outcomes in Hong Kong: an epidemiological and a 2-year follow up studies

2020 ◽  
pp. 1-8
Author(s):  
Sherry Kit Wa Chan ◽  
Kaspar Kit Wai Lee ◽  
Veronica Hei Yan Chan ◽  
Herbert H. Pang ◽  
Corine Sau Man Wong ◽  
...  
Keyword(s):  
Mental Health ◽  
Hong Kong ◽  
Chinese Population ◽  
Latent Class ◽  
Community Dwelling ◽  
Psychotic Experiences ◽  
Mental Health Symptoms ◽  
Health Symptoms ◽  
The Relationship

Abstract Background The relationship between the subtypes of psychotic experiences (PEs) and common mental health symptoms remains unclear. The current study aims to establish the 12-month prevalence of PEs in a representative sample of community-dwelling Chinese population in Hong Kong and explore the relationship of types of PEs and common mental health symptoms. Method This is a population-based two-phase household survey of Chinese population in Hong Kong aged 16–75 (N = 5719) conducted between 2010 and 2013 and a 2-year follow-up study of PEs positive subjects (N = 152). PEs were measured with Psychosis Screening Questionnaire (PSQ) and subjects who endorsed any item on the PSQ without a clinical diagnosis of psychotic disorder were considered as PE-positive. Types of PEs were characterized using a number of PEs (single v. multiple) and latent class analysis. All PE-positive subjects were assessed with common mental health symptoms and suicidal ideations at baseline and 2-year follow-up. PE status was also assessed at 2-year follow-up. Results The 12-month prevalence of PEs in Hong Kong was 2.7% with 21.1% had multiple PEs. Three latent classes of PEs were identified: hallucination, paranoia and mixed. Multiple PEs and hallucination latent class of PEs were associated with higher levels of common mental health symptoms. PE persistent rate at 2-year follow-up was 15.1%. Multiple PEs was associated with poorer mental health at 2-year follow-up. Conclusions Results highlighted the transient and heterogeneous nature of PEs, and that multiple PEs and hallucination subtype of PEs may be specific indices of poorer common mental health.

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