To study mental health among adolescents using correlational analysis

BackgroundThe COVID-19 outbreak is severely affecting overall mental health with unknown psychological consequences. The Italian Government has implemented a massive lockdown to decrease the spread of the virus. Although a strong psychological impact is possible, few evidences are still available. Past studies have shown that resilience decreases the negative effects of stress promoting mental health. For these reasons, this study aimed to examine depression, anxiety, and stress among the Italian general population during the phase characterizing by lockdown, and to investigate the role of resilience as a potential predictor. MethodsA total sample of 6314 Italian people participated in this study. Participants were recruited between March 10 and May 4 2020 through an online survey, the majority of whom from Northern Italy. The Depression Anxiety Stress Scales-21 (DASS-21) (a measure of mental health status) and the Resilience Scale (RS) (a measure of resilience) were administered. Also, demographic data and lockdown related information were collected. DASS-21 cut-off scores were used to verify the mental status among the participants. Subsequently, a correlational analysis was carried out to examine relationships between DASS-21 and RS. Lastly, three hierarchical regression analyses were conducted using the three DASS-21 scales as dependent variables and the RS scales as independent variables controlling for age, gender, and education. ResultsThe prevalence of moderate to extremely severe symptoms among participants was 36.1% for depression, 28.7% for anxiety, and 35.6% for stress. Results of correlational analysis showed that resilience factors, such as meaningfulness, self-reliance, existential aloneness, and equanimity, are inversely associated with depression, anxiety, and stress. Results of regression analyses indicated that all the resilience factors were statistically significant in predicting anxiety, while meaningfulness, perseverance, existential aloneness, and equanimity predicted depression and stress. ConclusionsDuring the lockdown following the COVID-19 outbreak, about a third of respondents reported moderate to extremely severe depression, anxiety, and stress. The present study suggests that psychological resilience may independently contribute to low emotional distress and psychological ill-being. These findings can help explain the variability of individual responses during the COVID-19 outbreak. Psychological interventions to enhance resilience might provide useful approaches to overcome COVID-related emotional impact.

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Comprehensive Mental Health Facets And Association With Age, Stress And Coping Amid 'The New Normal' Pandemic: How Do Adolescents Differ From Adults?

10.21203/rs.3.rs-789569/v1 ◽

2021 ◽

Author(s):

Shweta Singh ◽

Manjistha Datta ◽

Pawan Gupta ◽

Saakshi Batra ◽

Rakesh Tripathi ◽

...

Keyword(s):

Mental Health ◽

Substance Use ◽

Perceived Stress ◽

Sleep Disturbances ◽

Clinical Decision Making ◽

Mental Health Problems ◽

Correlational Analysis ◽

New Normal ◽

Brief Cope ◽

Health Domains

Abstract Background: Given varied forms of stressors in the backdrop of the COVID 19 pandemic, adolescents are particularly vulnerable to specific mental health challenges. It pertinent to explore how adolescents differ from adults regarding the comprehensive mental health facets amid the 'new normal, i.e., the duration between the first and second wave of COVID-19 in a developing country like India. The present study aimed to compare the comprehensive mental health facets of adolescents with the adults. Also, it aimed to explore the association of mental health facets with age, perceived stress, coping and impact of pandemic. Methods: The study followed a cross-sectional design with 1,027 participants [456 adolescents; 347 young and 224 middle age-adults] recruited from schools and colleges. The Comprehensive DSM-5 Self-Rated Level 1 Cross-Cutting Symptom Measure, Perceived Stress Scale and Brief COPE Scale were used for assessment. The difference between groups was analyzed using the Chi-Square Test of Independence and correlational analysis was done using Spearman Rank Correlation. Multiple regression analyses were performed for the mental health facets along with bootstrapping method. Results: 33.77% of adolescents, 25.65% of young adults, and 17.41% of middle-aged adults reported that their symptoms started during the pandemic. Compared to adults, the adolescents reported higher depression, anxiety, suicidal ideations, anger, and somatic complaints. Significantly higher adolescent females (39.9%) were found to have sleep disturbances compared to their male counterparts (25.5%). Therefore, it can be observed Adolescents are more clinically vulnerable in most domains. The correlational analysis showed that most mental health domains, except substance use showed moderate-to-low correlations with ‘Impact of COVID’. Perceived stress, impact of COVID, self-distraction, self-blaming were significant independent positive predictors for all the mental health domains except substance use. ‘Age’ was negatively associated with depression anxiety, repetitive thoughts, personality changes, suicidal ideations and memory, and positively associated with ‘substance use’ at low levels. Maladaptive coping was moderately positively correlated with all the mental health domains. Conclusion: It can be observed Adolescents are more clinically vulnerable in most domains. This study provides a comprehensive analysis for assessment and clinical decision-making to combat the mental health problems arising and exacerbating due to the COVID-19 pandemic. The findings will help in planning and implementing an appropriate interventional program, and making policy decisions related to the vulnerable group of adolescents.

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Evaluating Mental Health Services; How Do Programs for Children “Work” in the Real World? Edited by Carol T. Nixon & Denine A. Northrup. Sage, Thousand Oaks CA, 1997. pp. 306. £16.60 (pb).

Journal of Child Psychology and Psychiatry ◽

10.1017/s0021963098222918 ◽

1998 ◽

Vol 39 (6) ◽

pp. 935-936

Author(s):

Anne Worrall-Davies

Keyword(s):

Mental Health ◽

Mental Health Services ◽

Health Services ◽

Real World ◽

The Real

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Therapy and prevention for mental health: What if mental diseases are mostly not brain disorders?

Behavioral and Brain Sciences ◽

10.1017/s0140525x1800105x ◽

2019 ◽

Vol 42 ◽

Cited By ~ 2

Author(s):

John P. A. Ioannidis

Keyword(s):

Mental Health ◽

Mental Disease ◽

Brain Disorders ◽

Social Stressors ◽

Labor Education ◽

Mental Diseases ◽

Long Term Follow Up ◽

Political Decisions

AbstractNeurobiology-based interventions for mental diseases and searches for useful biomarkers of treatment response have largely failed. Clinical trials should assess interventions related to environmental and social stressors, with long-term follow-up; social rather than biological endpoints; personalized outcomes; and suitable cluster, adaptive, and n-of-1 designs. Labor, education, financial, and other social/political decisions should be evaluated for their impacts on mental disease.

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A Tribute to the Late William J. Curran

The Journal of Law Medicine & Ethics ◽

10.1017/s1073110500004058 ◽

1996 ◽

Vol 24 (3) ◽

pp. 274-275

Author(s):

O. Lawrence ◽

J.D. Gostin

Keyword(s):

Mental Health ◽

Health Care ◽

Mental Illness ◽

United Nations ◽

Mental Health Care ◽

Harvard University ◽

Legal Medicine ◽

General Assembly ◽

International Institute ◽

University Professor

In the summer of 1979, a group of experts on law, medicine, and ethics assembled in Siracusa, Sicily, under the auspices of the International Commission of Jurists and the International Institute of Higher Studies in Criminal Science, to draft guidelines on the rights of persons with mental illness. Sitting across the table from me was a quiet, proud man of distinctive intelligence, William J. Curran, Frances Glessner Lee Professor of Legal Medicine at Harvard University. Professor Curran was one of the principal drafters of those guidelines. Many years later in 1991, after several subsequent re-drafts by United Nations (U.N.) Rapporteur Erica-Irene Daes, the text was adopted by the U.N. General Assembly as the Principles for the Protection of Persons with Mental Illness and for the Improvement of Mental Health Care. This was the kind of remarkable achievement in the field of law and medicine that Professor Curran repeated throughout his distinguished career.

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Prevalence of Self-Reported Depression Symptoms and Perceived Anxiety Among Community-Dwelling U.S. Adults Reporting Tinnitus

Perspectives of the ASHA Special Interest Groups ◽

10.1044/2020_persp-19-00178 ◽

2020 ◽

Vol 5 (4) ◽

pp. 959-970

Author(s):

Kelly M. Reavis ◽

James A. Henry ◽

Lynn M. Marshall ◽

Kathleen F. Carlson

Keyword(s):

Mental Health ◽

Fold Increase ◽

Community Dwelling ◽

Self Report ◽

Depression Symptoms ◽

Community Based Interventions ◽

Data Set ◽

Health Distress ◽

Validated Questionnaire ◽

Mental Health Distress

Purpose The aim of this study was to examine the relationship between tinnitus and self-reported mental health distress, namely, depression symptoms and perceived anxiety, in adults who participated in the National Health and Nutrition Examinations Survey between 2009 and 2012. A secondary aim was to determine if a history of serving in the military modified the associations between tinnitus and mental health distress. Method This was a cross-sectional study design of a national data set that included 5,550 U.S. community-dwelling adults ages 20 years and older, 12.7% of whom were military Veterans. Bivariable and multivariable logistic regression was used to estimate the association between tinnitus and mental health distress. All measures were based on self-report. Tinnitus and perceived anxiety were each assessed using a single question. Depression symptoms were assessed using the Patient Health Questionnaire, a validated questionnaire. Multivariable regression models were adjusted for key demographic and health factors, including self-reported hearing ability. Results Prevalence of tinnitus was 15%. Compared to adults without tinnitus, adults with tinnitus had a 1.8-fold increase in depression symptoms and a 1.5-fold increase in perceived anxiety after adjusting for potential confounders. Military Veteran status did not modify these observed associations. Conclusions Findings revealed an association between tinnitus and both depression symptoms and perceived anxiety, independent of potential confounders, among both Veterans and non-Veterans. These results suggest, on a population level, that individuals with tinnitus have a greater burden of perceived mental health distress and may benefit from interdisciplinary health care, self-help, and community-based interventions. Supplemental Material https://doi.org/10.23641/asha.12568475

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